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COLORADO ADVANCED ENDOVASCULAR LLC NPI 1629829098


NPI Information

NPI: 1629829098
Provider Name: COLORADO ADVANCED ENDOVASCULAR, LLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
355 UNION BLVD STE 150
LAKEWOOD, CO
ZIP 80228
Phone: (720) 669-3036
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COLORADO ADVANCED ENDOVASCULAR, LLC is a vascular and interventional radiology radiology in Lakewood, CO. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. COLORADO ADVANCED ENDOVASCULAR, LLC NPI is 1629829098. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

355 UNION BLVD STE 150
LAKEWOOD, CO
ZIP 80228-516
Phone: (720) 669-3036
Fax: (720) 545-1584

The provider's authorized official is Ashley Dorman .
The authorized official title is Practice Administrator and has the following contact phone number (720) 669-3036.

The enumeration date for this NPI number is 4/1/2024 and was last updated on 4/1/2024.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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