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RADIOLOGY ASSOCIATES OF DURANGO PC NPI 1629109111


NPI Information

NPI: 1629109111
Provider Name: RADIOLOGY ASSOCIATES OF DURANGO PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1010 THREE SPRINGS BLVD
DURANGO, CO
ZIP 81301
Phone: (970) 764-2286
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RADIOLOGY ASSOCIATES OF DURANGO PC is a diagnostic radiology radiology in Durango, CO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RADIOLOGY ASSOCIATES OF DURANGO PC NPI is 1629109111. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1010 THREE SPRINGS BLVD
DURANGO, CO
ZIP 81301-296
Phone: (970) 764-2286

The provider's authorized official is Mark Walters .
The authorized official title is Owner and has the following contact phone number (970) 259-2525.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 7/7/2015.


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
12085N0904XRadiologyNuclear RadiologyNo
22085R0204XRadiologyVascular & Interventional RadiologyNo
32085U0001XRadiologyDiagnostic UltrasoundNo
42085R0202XRadiologyDiagnostic 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
1=========008MEDICAIDUTAH
2RAB6508OTHERCOLORADOBLUE CROSS BLUE SHIELD
310025313600MEDICAIDCALIFORNIA
4X9X000484MEDICAIDTEXAS
5=========001OTHERCOLORADOROCKY MOUNTAIN HEALTH
6CI1410MEDICARE ID-TYPE UNSPECIFIEDCOLORADO
704005427MEDICAIDCOLORADO
8825698MEDICAIDARIZONA
9209463OTHERUS DEPARTMENT OF LABOR
10CB6508MEDICARE PINCOLORADO
11E2677MEDICAIDNEW MEXICO

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

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.