SOUTHERN COLORADO PATHOLOGY PLLC (NPI# 1235621285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235621285 |
| Entity Type | Organization |
| Organization Name | SOUTHERN COLORADO PATHOLOGY PLLC |
| Practice Address |
1600 N Grand Ave. Suite 440 Pueblo CO 81003-2760 |
| Practice Telephone | 7195433500 |
| Practice Fax Number | 7195433504 |
| Mailing Telephone | 7195433500 |
| Mailing Fax Number | 7195433504 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |
| Authorized Official Name | ATUL VAHIL (OWNER) |
| Authorized Official Telephone | 7195433500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
1600 N GRAND AVE. SUITE 440 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1992973473 | Richard Rivera Mdpc | Clinic/Center | 1339 S Pueblo Blvd, Pueblo, CO 81005-1686 | 2008-02-18 |
| 1760025571 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 4117 N Elizabeth St, Pueblo, CO 81008-2009 | 2019-10-24 |
| 1902239221 | Spanish Peaks Healthcare Systems | Clinic/Center | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2013-08-11 |
| 1972820470 | Dr David W Pool PC | Clinic/Center | 2403 Santa Fe Dr, Pueblo, CO 81006-1497 | 2010-04-23 |
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| 1306462965 | Cresente Mentes A Limited Liability Company | Clinic/Center | 1692 W Canal Cir Unit 1034, Littleton, CO 80120-4560 | 2020-06-19 |
| 1639798937 | Colorado Addiction and Psychiatry, LLC | Clinic/Center | 1801 Chestnut Place Unit 128, Denver, CO 80202 | 2020-04-16 |
| 1467084129 | Tri-county Health Department | Clinic/Center | 7201 E. 72nd Ave., Commece City, CO 80022 | 2020-02-10 |
| 1205468493 | Tri-county Health Department | Clinic/Center | 9000 E Colfax Ave, Aurora, CO 80010-5030 | 2020-02-06 |
| 1336771534 | Tri-county Health Department | Clinic/Center | 15192 E Hampden Ave, Aurora, CO 80014-3906 | 2020-02-06 |
| 1124650221 | Tri-county Health Department | Clinic/Center | 30 S 20th Ave Ste Fg, Brighton, CO 80601-3705 | 2020-02-06 |
| 1992337091 | Tri-county Health Department | Clinic/Center | 7000 Broadway Ste 400, Denver, CO 80221-2947 | 2020-02-06 |
| 1467084566 | Tri-county Health Department | Clinic/Center | 9350 Heritage Hills Cir, Lone Tree, CO 80124-5518 | 2020-02-06 |
| 1568029767 | Infinity Imaging LLC | Clinic/Center | 8515 Pearl St Ste 201, Thornton, CO 80229-4809 | 2019-05-22 |
| 1952878753 | Kddn, LLC | Clinic/Center | 401 W Hampden Pl Ste 250, Englewood, CO 80110-2471 | 2018-10-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.