Pueblo Vascular Diagnostics, Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PUEBLO VASCULAR DIAGNOSTICS, INC

Practice address

1619 N Greenwood St Ste 318
Pueblo, CO 81003-2644

Phone

(716) 545-1607

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kari A McWhirter

Title

Owner

Phone

(505) 419-0685

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124239991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 479",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810020479",
            "telephone_number": "719-545-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N GREENWOOD ST STE 318",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032644",
            "telephone_number": "716-545-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO VASCULAR DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCWHIRTER",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-419-0685",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "PU660277",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63281279",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pueblo School District 60
• Pueblo Senior Counseling LLC
• Pueblo SNF Healthcare, LLC
• Pueblo Speech and Neurological Rehabilitation Center
• Pueblo Sports and Family Medicine PLLC
• Pueblo Womens Center
• Pueblo Womens Center, LLC
• Miranda Puente, BSW
• Kaitlyn Pullara
• Theodore Joseph Puls, M.D.

• Radiology Clinic/Center in Pueblo, CO
• Providers in Pueblo, 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 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.