Organization Active NPI

Pine Creek Imaging, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Colorado Springs, CO
National Provider Identifier
1437493848
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
PINE CREEK IMAGING, LLC
Practice address
9480 Briar Village PT Ste 300
Colorado Springs, CO 80920-7923
Phone
(719) 599-0670
NPI assigned
Nov 26, 2012
Last updated
Nov 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Mrs. LL Pickle
Title
Manager
Phone
(719) 599-0670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X NU Primary

Addresses

Primary practice location

9480 Briar Village PT Ste 300
Colorado Springs, CO 80920-7923

Mailing address

9480 Briar Village PT., Suite 300
Colorado Springs, CO 80920

National Provider Directory

National Provider Directory

Locations

9480 Briar Village Pt
Ste 300
Colorado Springs, CO 80920
Phone (719) 534-9445

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": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1437493848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 BRIAR VILLAGE PT., SUITE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 BRIAR VILLAGE PT STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207923",
            "telephone_number": "719-599-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE CREEK IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "PICKLE",
        "authorized_official_first_name": "LL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-599-0670",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.