Organization Active NPI

Mile High Medical Diagnostics, LLC

  • Physiological Laboratory
  • Highlands Ranch, CO
National Provider Identifier
1346548641
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
MILE HIGH MEDICAL DIAGNOSTICS, LLC
Practice address
342 Florence CT
Highlands Ranch, CO 80126-8607
Phone
(720) 270-6202
NPI assigned
Mar 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Greg T Eidschun, RCP
Title
President
Phone
(720) 270-6202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

342 Florence CT
Highlands Ranch, CO 80126-8607

Mailing address

342 Florence CT
Highlands Ranch, CO 80126-8607
Phone (720) 270-6202

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1346548641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 FLORENCE CT",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268607",
            "telephone_number": "720-270-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 FLORENCE CT",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268607",
            "telephone_number": "720-270-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH MEDICAL DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "EIDSCHUN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-270-6202",
        "authorized_official_credential": "RCP"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.