Active NPI
Justin Lamb
- Diagnostic Radiology Physician
- Usafa, CO
National Provider Identifier
1164715587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101252628
- Practice address
- 10 MDG
4102 Pinion Dr
Usafa, CO 80840 - Phone
- (719) 333-5333
- NPI assigned
- May 18, 2011
- Last updated
- Jul 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101252628 | VA | Primary |
Addresses
Primary practice location
10 MDG
4102 Pinion Dr
Usafa, CO 80840
Mailing address
PSC 41 Box 193
Apo, AE 09464-0002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101252628 | VA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1164715587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 41 BOX 193",
"city": "APO",
"state": "AE",
"postal_code": "094640002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MDG",
"address_2": "4102 PINION DR",
"city": "USAFA",
"state": "CO",
"postal_code": "80840",
"telephone_number": "719-333-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMB",
"first_name": "JUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-18",
"last_updated": "2025-07-10",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101252628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Usafa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.