SPECIALIZED IMAGING (NPI# 1245774587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245774587 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED IMAGING |
| Practice Address |
117 Navajo, Unit 3 Pagosa Springs CO 81147 |
| Mailing Address |
Po Box 5685 Pagosa Springs CO 81147-5685 |
| Practice Telephone | 5627061034 |
| Mailing Telephone | 5627061034 |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |
| Authorized Official Name | MR. JAMES RICHARD DAVIS (PRESIDENT) |
| Authorized Official Telephone | 5627061034 |
| Authorized Official Credential | ARRT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 117741 | CA | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SPECIALIZED IMAGING DOCTOR P.C. | 95 Horatio Street, Apt 704, New York, Ny 10014 |
| Street Address |
117 NAVAJO, UNIT 3 |
| City | PAGOSA SPRINGS |
| State | CO |
| Zip Code | 81147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184243479 | Lauren Crawford | Massage Therapist | 140 Country Center Dr, Unit 2, Pagosa Springs, CO 81147 | 2020-04-16 |
| 1962021279 | Jennifer Marie Owens | Massage Therapist | 140 Country Center Dr., Unit 2, Pagosa Springs, CO 81147 | 2020-04-16 |
| 1235760521 | A Safe Place In Pagosa, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 459 Lewis Street, Pagosa Springs, CO 81147 | 2020-01-27 |
| 1114407657 | Clarity Coaching and Counseling, LLC | Clinic/Center | 115 Ute Drive, Ignacio, CO 81147 | 2018-08-15 |
| 1659880169 | Dds Catalyst Pagosa, LLC | Clinic/Center | 308 N. Pagosa Street, Pagosa Springs, CO 81147 | 2017-09-27 |
| 1205358918 | John D. Kutzko | Pharmacist | Selah Mountain Pharmacy, 426 Pagosa Street, Pagosa Springs, CO 81147 | 2017-07-13 |
| 1003295478 | Four Corners Family Dental-co, LLC | Dentist | 308 N Pagosa St, Pagosa Springs, CO 81147 | 2015-05-19 |
| 1710385075 | Merenda Renae Romine | Massage Therapist | 26 Durango Ct., Pagosa Springs, CO 81147 | 2014-12-18 |
| 1447657044 | Ashley Wagle | Counselor | 475 Lewis Street, Suite 104, Pagosa Springs, CO 81147 | 2014-11-25 |
| 1184025389 | Pagosa Caritas Family Medicine LLC | Clinic/Center | 103 Pagosa St., Pagosa Springs, CO 81147 | 2014-09-08 |
| Find all providers in zip 81147 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003372954 | Bee Line, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9085 E Mineral Cir Ste 360, Centennial, CO 80112-3431 | 2019-02-15 |
| 1588105423 | Royaltech, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1703 E Cache La Poudre St, Colorado Springs, CO 80909-4613 | 2017-03-11 |
| 1437493848 | Pine Creek Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9480 Briar Village Pt Ste 300, Colorado Springs, CO 80920-7923 | 2012-11-26 |
| 1104128859 | Kan Di Ki, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11585 E 53rd Ave Ste H, Denver, CO 80239-2321 | 2010-12-01 |
| 1649416140 | 1st Mobile Ultrasound Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 20671 E Dartmouth Dr, Aurora, CO 80013-8441 | 2009-01-05 |
| 1962691964 | Bakorp LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7230 Gilpin Way Ste 200, Denver, CO 80229 | 2007-10-16 |
| 1801833389 | Schryver Medical Sales and Marketing LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11585 E 53rd Ave, Unit H, Denver, CO 80239-2330 | 2006-06-01 |
| 1124643630 | Pdi Health Co LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 102 S Tejon St, Colorado Springs, CO 80903-2231 | 2020-06-10 |
| 1629551957 | Precision Clinical Imaging PCi | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11275 E Mississippi Ave Ste 2w1, Aurora, CO 80012-2828 | 2018-09-12 |
| 1760749212 | Vpa PC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 164 Primrose Ct, Longmont, CO 80501-6036 | 2012-04-20 |
| Find all providers with the same taxonomy | ||||
| City | PAGOSA SPRINGS |
| Zip Code | 81147 |
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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.