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COLORADO SPRINGS UROLOGICAL ASSOCIATES LLC NPI 1356305114


NPI Information

NPI: 1356305114
Provider Name: COLORADO SPRINGS UROLOGICAL ASSOCIATES LLC

Doing Business As: COLORADO SPRINGS UROLOGICAL ASSOCIATES

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 06D0517667

Address:
1644 MEDICAL CENTER PT
SUITE 200
COLORADO SPRINGS, CO
ZIP 80907
Phone: (719) 634-1994
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COLORADO SPRINGS UROLOGICAL ASSOCIATES LLC is a non pharmacy dispensing site in Colorado Springs, CO. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) COLORADO SPRINGS UROLOGICAL ASSOCIATES LLC NPI is 1356305114. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Colorado Springs Urological Associates.

The provider's business location address is:

1644 MEDICAL CENTER PT
SUITE 200
COLORADO SPRINGS, CO
ZIP 80907
Phone: (719) 634-1994
Fax: (719) 634-2906

The provider's authorized official is Maritza Rodarte .
The authorized official title is Authorized Official and has the following contact phone number (719) 634-1994.

The CLIA number assigned to this NPI record is 06D0517667 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/17/2006 and was last updated on 3/3/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyNo
2332900000XNon-Pharmacy Dispensing SiteYes

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
104072088MEDICAIDCOLORADO

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

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