Organization Active NPI

Mile High Diagnostic Services Inc

  • Sonography Specialist/Technologist Cardiovascular
  • Greenwood Village, CO
National Provider Identifier
1518117464
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
Legal business name
MILE HIGH DIAGNOSTIC SERVICES INC
Practice address
6091 S Paris St
Greenwood Village, CO 80111-4120
Phone
(303) 766-4375
Fax
(303) 766-8630
NPI assigned
Sep 29, 2008
Last updated
Jun 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Authorized official

Name
Mikhail MalamudNPI 1235288754
Title
President
Phone
(303) 766-4375

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist Cardiovascular 246XS1301X Primary

Addresses

Primary practice location

6091 S Paris St
Greenwood Village, CO 80111-4120

Mailing address

6091 S Paris St
Greenwood Village, CO 80111-4120
Phone (303) 766-4375

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090605000410 CO Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4385794718 Practice locations: Greenwood Village, CO

National Provider Directory

National Provider Directory

Locations

10200 E Girard Ave
Ste C150
Denver, CO 80231
Phone (303) 751-8300

3464 S Willow St
Ste 542
Denver, CO 80231

Practitioners & affiliated clinicians

Practitioners 5

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": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1518117464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6091 S PARIS ST",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114120",
            "telephone_number": "303-766-4375",
            "fax_number": "303-766-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6091 S PARIS ST",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114120",
            "telephone_number": "303-766-4375",
            "fax_number": "303-766-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH DIAGNOSTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "MALAMUD",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-766-4375"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.