PDI HEALTH CO LLC (NPI# 1770108276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770108276 |
| Entity Type | Organization |
| Organization Name | PDI HEALTH CO LLC |
| Practice Address |
102 S Tejon St Colorado Springs CO 80903-2231 |
| Mailing Address |
12 Spencer St Ste 2 Brooklyn NY 11205-1892 |
| Practice Telephone | 8007499729 |
| Mailing Telephone | 8007499729 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | MENACHEM TAUBER (CEO) |
| Authorized Official Telephone | 8007499729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PDI HEALTH CO LLC | 12 Spencer St, Brooklyn, NY 11205 |
| Street Address |
102 S TEJON ST |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679897888 | Kimberly Michelle Hardesty | Counselor | 102 S Tejon St, Suite 1100, Colorado Springs, CO 80903-2231 | 2010-03-16 |
| 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 |
| 1952705998 | Chandra Enright-wallace | Massage Therapist | 102 S Tejon St, Suite 102a, Colorado Springs, CO 80903-2231 | 2014-10-20 |
| 1467874735 | Angie Bode | Massage Therapist | 102 S Tejon St, 102a, Colorado Springs, CO 80903-2231 | 2014-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322834 | Rocky Mountain Eeg LLC | Clinic/Center | 224 E Willamette Ave Ofc 8, Colorado Springs, CO 80903-1114 | 2020-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629618558 | Remote Access Diagnostic Services | Clinic/Center | 14221 E 4th Ave Ste 2-221, Aurora, CO 80011-8735 | 2020-01-08 |
| 1952949521 | George J Martinez | Clinic/Center | 12516 Bryant St, Broomfield, CO 80020-3844 | 2019-12-14 |
| 1760711360 | Sound Diagnostic Imaging, Inc | Clinic/Center | 4105 Muirfield Ct, Pueblo, CO 81001-1107 | 2009-12-11 |
| 1881892693 | Cronos-prim Colorado LLC | Clinic/Center | 1200 S. Monaco Pkwy Unit 19, Denver, CO 80224 | 2007-07-03 |
| 1073645040 | Colorado Sonographics Inc | Clinic/Center | 549 Wild Ridge Ln, Lafayette, CO 80026-2568 | 2007-03-12 |
| 1972086239 | Precision Clinical Diagnostics | Clinic/Center | 11275 E Mississippi Ave Ste 2w1, Aurora, CO 80012-2828 | 2018-09-12 |
| 1891125217 | Aim Diagnostics LLC | Clinic/Center | 3960 Ivywood Ln, Pueblo, CO 81005-2567 | 2013-11-21 |
| 1518265206 | Aid Health | Clinic/Center | 730 Eudora St, Denver, CO 80220-5116 | 2011-03-04 |
| 1750344537 | Rcoa Imaging Services, Inc | Clinic/Center | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2006-04-11 |
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
Please comment or provide details below to improve the information on PDI HEALTH CO LLC.
| 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.