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DIVERSIFIED RADIOLOGY OF COLORADO PC NPI 1639207095


NPI Information

NPI: 1639207095
Provider Name: DIVERSIFIED RADIOLOGY OF COLORADO, PC

Doing Business As: INTERVENTIONAL CLINIC

Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
1601 E 19TH AVE
STE 3850
DENVER, CO
ZIP 80218
Phone: (303) 226-7225
Get Directions

DIVERSIFIED RADIOLOGY OF COLORADO, PC is a vascular and interventional radiology radiology in Denver, 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. DIVERSIFIED RADIOLOGY OF COLORADO, PC NPI is 1639207095. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Interventional Clinic.

The provider's business location address is:

1601 E 19TH AVE
STE 3850
DENVER, CO
ZIP 80218-216
Phone: (303) 226-7225

The provider's authorized official is Christopher Mcmillan .
The authorized official title is Ceo and has the following contact phone number (303) 914-8800.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 9/28/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CH6408MEDICARE PINCOLORADO
204004826MEDICAIDCOLORADO

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: 4/28/2024

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