Colorado Springs Imaging LLC
Organization Active NPI Diagnostic Radiology Physician · Colorado Springs, CO
NPI 1720060437 · NPPES record last updated May 11, 2015
Key facts
- NPI
- 1720060437
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- COLORADO SPRINGS IMAGING LLC
- Practice address
- 6005 Delmonico Dr
Suite 180
Colorado Springs, CO 80919-2237 - Phone
- (719) 260-6500
- Fax
- (719) 260-7750
- NPI assigned
- Nov 17, 2005
- Organization subpart
- No
Authorized official
- Name
- Jeff Jones
- Title
- Partner
- Phone
- (719) 955-4332
Other NPIs with the same Medicare PAC ID 1
Practitioners 112
-
Erin A Cooke, MD
-
Eric R. Handley, M.D.
-
James Clark Haug, D.O
-
Charles P Ho, M.D.
-
Chelsea Jeranko, D.O.
-
Fatemeh Kadivar, MD
-
James Korf, MD
-
Kelly R. Lindauer, M.D.
-
Alexander Nesbitt Merkle, M.D.
-
James I Piko, DO
-
Dmitri Segal, D.O.
-
Murray Solsberg, M.D.
-
Pouya Aghajafari, M.D.
-
Talal Akhter, M.D.
-
Cina Joseph Ali, M.D,
-
Brice Alvord, M.D.
-
Aaron Todd Benner, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D1088817 | Colorado Springs Imaging | Certificate of waiver | Sep 3, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050617000635 | CO | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 5496799652 | Practice locations: Colorado Springs, CO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
6005 Delmonico Dr
Suite 180
Colorado Springs, CO 80919-2237
Mailing address
8610 Explorer Dr
300
Colorado Springs, CO 80920-1058
Phone (719) 955-4140
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05070571 | Medicaid | CO |
Other providers in Colorado Springs, CO
- Colorado Springs Eye Clinic PC
- Colorado Springs Eye Surgery Center
- Colorado Springs Group Health, LLC
- Colorado Springs Hearing Consultants, LLC
- Colorado Springs Ilf, LLC
- Colorado Springs Imaging LLC
- Colorado Springs Imaging LLC
- Colorado Springs Independence Center
- Colorado Springs Independence Center
- Colorado Springs Independence Center
All providers in Colorado Springs, CO · Diagnostic Radiology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.