PUEBLO RADIOLOGICAL GROUP P.C. NPI 1114528908

NPI Information

NPI: 1114528908
Provider Name: PUEBLO RADIOLOGICAL GROUP, P.C.
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
1020 LAKEVIEW AVE
PUEBLO, CO
ZIP 81004
Phone: (719) 557-3145
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PUEBLO RADIOLOGICAL GROUP, P.C. is a radiology clinic center in Pueblo, CO. PUEBLO RADIOLOGICAL GROUP, P.C. NPI is 1114528908. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1020 LAKEVIEW AVE
PUEBLO, CO
ZIP 81004-508
Phone: (719) 557-3145
Fax: (719) 542-7019

The provider's authorized official is Robin L Boyer .
The authorized official title is Auth Rep/director Of Operations and has the following contact phone number (970) 663-2742.

The enumeration date for this NPI number is 11/6/2020 and was last updated on 1/25/2021.

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
1	2085R0202X	Radiology	Diagnostic Radiology			No
2	261QR0200X	Clinic/Center	Radiology			Yes

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: 11/14/2023

NPI Synchronization or Removal

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