Organization Active NPI

Denver Metro Imaging, LLC

Doing business as Park Meadows Imaging

  • Radiology Clinic/Center
  • Lone Tree, CO
National Provider Identifier
1043351539
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
DENVER METRO IMAGING, LLC
Doing business as
Park Meadows Imaging
Practice address
8500 Park Meadows Drive
Suite 050
Lone Tree, CO 80124
Phone
(303) 925-0674
Fax
(303) 951-7528
NPI assigned
Feb 9, 2007
Organization subpart
Yes
Parent organization
SPINE ONE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Perry L. Haney, M.D.NPI 1770662959
Title
Managing Member
Phone
(303) 367-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NONE
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

8500 Park Meadows Drive
Suite 050
Lone Tree, CO 80124

Mailing address

8500 Park Meadows Drive
Suite 050
Lone Tree, CO 80124
Phone (303) 925-0674

Other names 1

  • PARK MEADOWS IMAGING Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100304000418 CO Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0042355836 Practice locations: Lone Tree, CO

National Provider Directory

National Provider Directory
Part of
Spineone PLLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

8500 Park Meadows Dr
Ste 50
Lone Tree, CO 80124
Phone (303) 925-0674

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1043351539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 PARK MEADOWS DRIVE",
            "address_2": "SUITE 050",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-925-0674",
            "fax_number": "303-951-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 PARK MEADOWS DRIVE",
            "address_2": "SUITE 050",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-925-0674",
            "fax_number": "303-951-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER METRO IMAGING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPINE ONE, INC",
        "enumeration_date": "2007-02-09",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "303-367-2225",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": "NONE",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK MEADOWS IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.