Organization Active NPI

Durango Ultrasound

  • Diagnostic Ultrasound Physician
  • Durango, CO
National Provider Identifier
1396333605
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
DURANGO ULTRASOUND
Practice address
270 E 8TH Ave Ste 201
Durango, CO 81301-5768
Phone
(970) 247-7997
Fax
(970) 247-7996
NPI assigned
Jan 4, 2021
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Laurel A Campbell, BS, RDMS, RVTNPI 1851990493
Title
Sonographer/Owner
Phone
(970) 247-7997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X NU Primary
Sonography Radiologic Technologist 2471S1302X NU
Vascular Sonography Radiologic Technologist 2471V0105X NU

Addresses

Primary practice location

270 E 8TH Ave Ste 201
Durango, CO 81301-5768

Mailing address

270 E 8TH Ave Ste 201
Durango, CO 81301-5768
Phone (970) 247-7997

Other identifiers 2

IdentifierTypeStateIssuer
1851990493OtherINDIVIDUAL NPI
9000216381MedicaidCO

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@durangoultrasound.com Direct
Direct Messaging Address info@durangoultrasound.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210308000224 CO Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4486067386 Practice locations: Durango, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1396333605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E 8TH AVE STE 201",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015768",
            "telephone_number": "970-247-7997",
            "fax_number": "970-247-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E 8TH AVE STE 201",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015768",
            "telephone_number": "970-247-7997",
            "fax_number": "970-247-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURANGO ULTRASOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SONOGRAPHER/OWNER",
        "authorized_official_telephone_number": "970-247-7997",
        "authorized_official_credential": "BS, RDMS, RVT"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1851990493",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000216381",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@durangoultrasound.com",
            "affiliation": "N",
            "endpointDescription": "info@durangoultrasound.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "270 E 8th Ave Ste 201",
            "city": "Durango",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813015768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@durangoultrasound.com",
            "affiliation": "N",
            "endpointDescription": "business contact",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "270 E 8th Ave Ste 201",
            "city": "Durango",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813015768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.