GRAPEVINE MEDICAL LLC NPI 1427333780

NPI Information

  • NPI: 1427333780
  • Provider Name: GRAPEVINE MEDICAL LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: MINDGENESIS
  • Address: 991 SOUTHPARK DR
    SUITE 200
    LITTLETON, CO
    ZIP 80120
  • Phone: (303) 577-5800

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NPI Details

GRAPEVINE MEDICAL LLC is a diagnostic radiology radiology in Littleton, CO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. GRAPEVINE MEDICAL LLC NPI is 1427333780. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mindgenesis.

The provider's business location address is:

991 SOUTHPARK DR
SUITE 200
LITTLETON, CO
ZIP 80120-688
Phone: (303) 577-5800

The provider's authorized official is Margaret Parra .
The authorized official title is Manager/member and has the following contact phone number (303) 577-5800.

The enumeration date for this NPI number is 10/19/2011 and was last updated on 10/19/2011.

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
12085R0202XRadiologyDiagnostic Radiology1171-01COLORADOYes

What is NPI?

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This page was last updated on: 3/30/2025

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