PUEBLO IMAGING CENTER LLC NPI 1497713960

NPI Information

  • NPI: 1497713960
  • Provider Name: PUEBLO IMAGING CENTER, LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 404 W 12TH ST
    PUEBLO, CO
    ZIP 81003
  • Phone: (719) 542-0172

Map and Directions

Get Directions

NPI Details

PUEBLO IMAGING CENTER, LLC is a specialist in Pueblo, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PUEBLO IMAGING CENTER, LLC NPI is 1497713960. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

404 W 12TH ST
PUEBLO, CO
ZIP 81003-815
Phone: (719) 542-0172
Fax: (719) 542-5072

The provider's authorized official is Larae Ann Miller .
The authorized official title is Center Manager and has the following contact phone number (719) 542-0172.

The enumeration date for this NPI number is 5/3/2006 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
1174400000XSpecialist5047COLORADOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
131789013MEDICAIDCOLORADO

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI