Active NPI
Imaging Group, LLC
- Body Imaging Physician
- Westminster, CO
National Provider Identifier
1619005048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- Legal business name
- IMAGING GROUP, LLC
- Practice address
- 1499 W 120TH Ave
Westminster, CO 80234-2751 - Phone
- (303) 280-8578
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Walker
- Title
- Board Member
- Phone
- (303) 914-8800
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | Primary | ||
| Neuroradiology Physician | 2085N0700X | |||
| Nuclear Radiology Physician | 2085N0904X | |||
| Pediatric Radiology Physician | 2085P0229X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Diagnostic Ultrasound Physician | 2085U0001X |
Addresses
Primary practice location
1499 W 120TH Ave
Westminster, CO 80234-2751
Mailing address
938 Bannock St
Ste 300
Denver, CO 80204-4028
Phone (303) 914-8800
Other names 1
- ImageOne at Park Centre
National Provider Directory
National Provider Directory- Tax ID family
- Imageone at Applewood
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Body Imaging Physician
- Denver, CO
- NPI 1083749295
-
- Body Imaging Physician
- Denver, CO
- NPI 1417085861
-
- Body Imaging Physician
- Golden, CO
- NPI 1801924220
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Diagnostic Radiology Physician
- Lakewood, CO
- NPI 1205923596
Member Of
Locations
1499 W 120th Ave
Westminster, CO 80234
Phone (303) 280-8578
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201824000000",
"number": "1619005048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "938 BANNOCK ST",
"address_2": "STE 300",
"city": "DENVER",
"state": "CO",
"postal_code": "802044028",
"telephone_number": "303-914-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 W 120TH AVE",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802342751",
"telephone_number": "303-280-8578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAGING GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2008-02-01",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "BOARD MEMBER",
"authorized_official_telephone_number": "303-914-8800"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085N0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Pediatric Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ImageOne at Park Centre",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.