Imed Integration LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

IMED INTEGRATION LLC

Practice address

6190 Lehman Dr Ste 100B
Colorado Springs, CO 80918-3445

Phone

(719) 593-7836

NPI assigned

Feb 14, 2018

Organization subpart

No

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

Authorized official

Name

Sabrina Keller

Title

Authorized Official

Phone

(719) 593-7836

Specialties & licenses 1

Addresses

Other names 1

• iMed Regeneration Center Doing business as

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1710487939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 LEHMAN DR STE 100B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183445",
            "telephone_number": "719-593-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 LEHMAN DR STE 100B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183445",
            "telephone_number": "719-593-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMED INTEGRATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "719-593-7836"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iMed Regeneration Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "iMed Regeneration Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.