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SOUTH DENVER INTEGRATED IMAGING LLC NPI 1518963214


NPI Information

NPI: 1518963214
Provider Name: SOUTH DENVER INTEGRATED IMAGING LLC

Doing Business As: DENVER INTEGRATED IMAGING SOUTH

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
99 INVERNESS DR E STE 110
ENGLEWOOD, CO
ZIP 80112
Phone: (303) 757-0332
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SOUTH DENVER INTEGRATED IMAGING LLC is a diagnostic radiology radiology in Englewood, CO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SOUTH DENVER INTEGRATED IMAGING LLC NPI is 1518963214. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Denver Integrated Imaging South.

The provider's business location address is:

99 INVERNESS DR E STE 110
ENGLEWOOD, CO
ZIP 80112-122
Phone: (303) 757-0332
Fax: (303) 757-0558

The provider's authorized official is Don Ballard .
The authorized official title is Member and has the following contact phone number (303) 757-0332.

The enumeration date for this NPI number is 6/27/2005 and was last updated on 7/15/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

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
118782078MEDICAIDCOLORADO

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: 4/28/2024

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