PLATTE VALLEY MEDICAL IMAGING LLC (NPI# 1609117225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609117225 |
Entity Type | Organization |
Organization Name | PLATTE VALLEY MEDICAL IMAGING LLC |
Practice Address |
1606 Prairie Center Pkwy Ste 130 Brighton CO 80601-4004 |
Practice Telephone | 3034983618 |
Practice Fax Number | 3034983629 |
Mailing Telephone | 3034983618 |
Mailing Fax Number | 3034983629 |
Enumeration Date | 2013-03-06 |
Last Update Date | 2013-03-06 |
Authorized Official Name | GREGG FANSELAU (MANAGER) |
Authorized Official Telephone | 3034983618 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
Street Address |
1606 PRAIRIE CENTER PKWY STE 130 |
City | BRIGHTON |
State | CO |
Zip Code | 80601-4004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013384429 | Taylor Elise Albaugh | Physical Medicine & Rehabilitation | 1606 Prairie Center Pkwy Ste 130, Brighton, CO 80601 | 2015-09-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326541228 | Dentists of Brighton, LLP | Dentist | 5127 E Bridge Street, Brighton, CO 80601 | 2018-03-16 |
1972038313 | Girls Only Ministry | Community Based Residential Treatment Facility, Mental Illness | 655 North 16th Way, Brighton, CO 80601 | 2017-04-24 |
1174074223 | Milltown Dialysis LLC | Clinic/Center | 1321 S 4th Ave Ste 100, Brighton, CO 80601 | 2016-10-24 |
1427418953 | Alexis Martinez | Dental Hygienist | 1860 Egbert Street, Brighton, CO 80601 | 2016-02-25 |
1427413160 | Haile Ogbalidet | Pharmacist | 1605 E. Bridge St, Brighton, CO 80601 | 2015-12-23 |
1841686128 | Jamie Nichole Campbell | Pediatrics | 1606 Prairie Center Parkway Premier Pediatrics, Suite 300, Brighton, CO 80601 | 2015-04-13 |
1568881795 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 100 N 50th Ave, Brighton, CO 80601 | 2014-04-15 |
1841616554 | Rebecca Sholeh Philman | Registered Nurse | 423 Mt Elbert St, Brighton, CO 80601 | 2014-03-06 |
1770928756 | Capital Success, LLC | Clinic/Center | 203 Telluride St Unit 750, Brighton, CO 80601 | 2013-05-06 |
1992045884 | Kristin Michelle Uchida | Massage Therapist | 27 S 4th Ave, Brighton, CO 80601 | 2013-03-01 |
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Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
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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.