PROVISION IMAGING OF FT COLLINS NPI 1457375545

NPI Information

  • NPI: 1457375545
  • Provider Name: PROVISION IMAGING OF FT COLLINS
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Address: 4114 TIMBERLINE RD
    FORT COLLINS, CO
    ZIP 80525
  • Phone: (970) 223-9939

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NPI Details

PROVISION IMAGING OF FT COLLINS is a radiology clinic center in Fort Collins, CO. PROVISION IMAGING OF FT COLLINS NPI is 1457375545. The provider is registered as an organization entity type.

The provider's business location address is:

4114 TIMBERLINE RD
FORT COLLINS, CO
ZIP 80525-034
Phone: (970) 223-9939
Fax: (970) 223-0273

The provider's authorized official is Robert Matt Trent .
The authorized official title is Coo and has the following contact phone number (405) 842-7768.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 8/22/2020.

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
1261QR0200XClinic/CenterRadiologyYes

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: 11/21/2025

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