NPIMap

Organization Active NPI

Uchealth Imaging Services, LLC

  • Radiology Clinic/Center
  • Longmont, CO
National Provider Identifier
1104570209
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
UCHEALTH IMAGING SERVICES, LLC
Practice address
1760 E Ken Pratt Blvd Ste 202
Longmont, CO 80504-5311
Phone
(720) 718-8503
NPI assigned
Feb 8, 2022
Organization subpart
Yes
Parent organization
UCHEALTH IMAGING SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Todd Newell Hofheins
Title
Cfo
Phone
(720) 848-0000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1760 E Ken Pratt Blvd Ste 202
Longmont, CO 80504-5311

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071

Other names 1

  • UCHealth Breast Diagnostics - Longs Peak Medical Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190103002022 CO Part B Supplier - Clinic/Group Practice 5799021291 Receives reassigned benefits from 298 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Highlands Ranch, CO; Parker, CO; Longmont, CO; Englewood, CO; Denver, CO; Colorado Springs, CO; Broomfield, CO

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2255924Uchealth Imaging - Longs Peak Medical Center1760 E Ken Pratt Blvd, Ste 101, Longmont, CO 80504Certificate of waiverMar 17, 2028

National Provider Directory

National Provider Directory
Tax ID family
Uchealth Imag SVCS LLC28 organizations share this tax ID, including this one
Part of
Uchealth Imag SVCS LLC

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Practitioners & affiliated clinicians

Practitioners 11

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": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1104570209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E KEN PRATT BLVD STE 202",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805045311",
            "telephone_number": "720-718-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCHEALTH IMAGING SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UCHEALTH IMAGING SERVICES, LLC",
        "enumeration_date": "2022-02-08",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "HOFHEINS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "NEWELL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "720-848-0000"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCHealth Breast Diagnostics - Longs Peak Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.