06D1066927 CLIA NUMBER - PARK WEST IMAGING

Laboratory Demographics

CLIA Number: 06D1066927

Facility Name: PARK WEST IMAGING

Facility Address:
3676 PARKER BLVD STE 165
PUEBLO, CO
ZIP 81008
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Facility Phone Number: 719 595-7611

Facility Type: Other - OUTPATIENT RADIOLOGY CTR

Certificate Type: Waiver

NPI Number: 1093233348

Taxonomy: 152W00000X - Optometrist
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

CLIA Record

Field Name	Field Value
CLIA Number	06D1066927
LAB Type	Other - OUTPATIENT RADIOLOGY CTR
Facility Name	PARK WEST IMAGING
Street	3676 PARKER BLVD STE 165
City	PUEBLO
State	CO
ZIP	81008
Phone	719 595-7611
CertificateType	4
CertificateEffectiveDate	4/5/2023
CertificateExpirationDate	4/4/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024