BANNER IMAGING SERVICES COLORADO LLC NPI 1225664873

NPI Information

BANNER IMAGING SERVICES COLORADO LLC is a diagnostic radiology radiology in Greeley, CO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BANNER IMAGING SERVICES COLORADO LLC NPI is 1225664873. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2001 70TH AVE STE 100
GREELEY, CO
ZIP 80634-628
Phone: (970) 810-2500
Fax: (970) 810-2522

The provider's authorized official is Dennis Laraway .
The authorized official title is Cfo and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 06D2197014 - other - imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2020 and was last updated on 1/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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