Southwest Diagnostic Centers of Colorado Springs

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SOUTHWEST DIAGNOSTIC CENTERS OF COLORADO SPRINGS

Practice address

2020 N Academy Blvd
Suite 155
Colorado Springs, CO 80909-1567

Phone

(719) 380-7210

Fax

(719) 380-7510

NPI assigned

May 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janice Bennett

Title

Director of Operations

Phone

(719) 380-7210

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1033164991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NORTH ACADEMY BLVD",
            "address_2": "SUITE 155",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091567",
            "telephone_number": "719-380-7210",
            "fax_number": "719-380-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N ACADEMY BLVD",
            "address_2": "SUITE 155",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091567",
            "telephone_number": "719-380-7210",
            "fax_number": "719-380-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST DIAGNOSTIC CENTERS OF COLORADO SPRINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "719-380-7210"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08982511",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Colorado Medicine Inc
• Southern Colorado Oculofacial Plastic Surgery Associates PLLC (Jones Oculofacial plastics)
• Southern Colorado TMS Center, LLC
• Southern Colorado Vascular Surgery PC
• Southwest Consulting Group, Inc.
• Mia Southworth
• Alexandra Souza
• Edward A Souza, D.M.D.
• Alesia Risnes Sova, NP
• Jenna Sova

• Radiology Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Radiology Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.