Organization Active NPI

Banner Northern Colorado Imaging, LLC

  • Radiology Clinic/Center
  • Greeley, CO
National Provider Identifier
1447764980
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
BANNER NORTHERN COLORADO IMAGING, LLC
Practice address
2001 70TH Ave
Greeley, CO 80634-4621
Phone
(970) 810-2500
NPI assigned
Nov 20, 2017
Organization subpart
Yes
Parent organization
BANNER HEALTHAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Matthew Cox
Title
Sr VP Finance
Phone
(602) 747-4000

National Provider Directory

National Provider Directory
Tax ID family
Banner Northern Colorado Imaging LLC3 organizations share this tax ID, including this one
Part of
M E Lee MD

Other organizations with this tax ID 2

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

NPPES NPI Registry

Primary practice location

2001 70TH Ave
Greeley, CO 80634-4621

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Other names 1

NPPES NPI Registry
  • Weld County Imaging Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 20, 2017.

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1447764980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 70TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344621",
            "telephone_number": "970-810-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER NORTHERN COLORADO IMAGING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "SR VP FINANCE",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weld County Imaging",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.