NPIMap

Organization Active NPI

Colorado Springs Imaging LLC

Doing business as Envision Imaging of Draper

  • Diagnostic Radiology Physician
  • Draper, UT
National Provider Identifier
1245808385
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
COLORADO SPRINGS IMAGING LLC
Doing business as
Envision Imaging of Draper
Practice address
557 E 12300 S
Draper, UT 84020-7418
Phone
(719) 955-4332
NPI assigned
Jun 15, 2021
Last updated
Jun 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Andrew Benson
Title
Chief Revenue Officer
Phone
(719) 955-4332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

557 E 12300 S
Draper, UT 84020-7418

Mailing address

8610 Explorer Dr Unit 300
Colorado Springs, CO 80920-1036
Phone (719) 955-4332

Other names 1

  • Envision Imaging of Draper Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colorado Springs Imaging LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

557 E 12300 S
Draper, UT 84020
Phone (801) 717-9595

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1245808385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 EXPLORER DR UNIT 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201036",
            "telephone_number": "719-955-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 E 12300 S",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207418",
            "telephone_number": "719-955-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPRINGS IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "719-955-4332"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Imaging of Draper",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.