E Plus Pet Imaging Xviii LP

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

E PLUS PET IMAGING XVIII LP

Doing business as

PET Imaging of Northern Colorado

Practice address

1915 Wilmington Dr
Suite 101
Fort Collins, CO 80528-3008

Phone

(970) 204-0202

Fax

(970) 204-0208

NPI assigned

May 18, 2006

Last updated

Dec 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chaoqiang Lin

Title

Executive Vice President & Cfo

Phone

(214) 587-4079

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PET Imaging of Northern Colorado Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hematology Oncology Associates PC

  dba Cancer Center of the Rockies

  • Hematology & Oncology Physician
  • Fort Collins, CO
  • NPI 1124024450

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1679526800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 WILMINGTON DR UNIT 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286101",
            "telephone_number": "970-204-0202",
            "fax_number": "970-204-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 WILMINGTON DR",
            "address_2": "SUITE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283008",
            "telephone_number": "970-204-0202",
            "fax_number": "970-204-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E PLUS PET IMAGING XVIII LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "CHAOQIANG",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "214-587-4079"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679526800",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PET Imaging of Northern Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Dwyer, PSY.D.
• Kelley Elizabeth Dyer, MSW
• Rita Ryan Dykstra, LPC
• Dynamic Anesthesia Business Solutions, LLC
• Dynamic Health, LLC
• Tracy Eacret
• Larissa Rose Eaden, RD
• Carrie Eagan, P.T.
• Jeff Eagan, PT, DPT, CLT
• Collin McHenry Eagen, SLP

• Radiology Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Radiology Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.