Organization Active NPI

Colorado Diagnostic Medicine, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Littleton, CO
National Provider Identifier
1073558474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
NA Issued in CO
Legal business name
COLORADO DIAGNOSTIC MEDICINE, LLC
Practice address
5920 S Estes St
Ste. 150
Littleton, CO 80123-8618
Phone
(303) 948-5765
Fax
(303) 948-5761
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Syed Haider
Title
Ceo
Phone
(314) 839-9901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NA CO Primary

Addresses

Primary practice location

5920 S Estes St
Ste. 150
Littleton, CO 80123-8618

Mailing address

4374 Reliable Parkway
Chicago, IL 60686-0001
Phone (314) 839-9901

Other names 1

  • Wadsworth Open MRI Doing business as

National Provider Directory

National Provider Directory

Locations

4374 Reliable Pkwy
Chicago, IL 60686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073558474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4374 RELIABLE PARKWAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860001",
            "telephone_number": "314-839-9901",
            "fax_number": "314-839-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 S ESTES ST",
            "address_2": "STE. 150",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801238618",
            "telephone_number": "303-948-5765",
            "fax_number": "303-948-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO DIAGNOSTIC MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-839-9901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "CO",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wadsworth Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.