NPIMap

Organization Active NPI

Colorado Springs Imaging LLC

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
National Provider Identifier
1720060437
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 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
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Jeff Jones
Title
Partner
Phone
(719) 955-4332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050617000635 CO Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5496799652 Practice locations: Colorado Springs, CO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1088817Colorado Springs Imaging6005 Delmonico Dr, Colorado Springs, CO 80919Certificate of waiverSep 3, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 119

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.

View all 119

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1720060437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 EXPLORER DR",
            "address_2": "300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201058",
            "telephone_number": "719-955-4140",
            "fax_number": "719-955-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 DELMONICO DR",
            "address_2": "SUITE 180",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192237",
            "telephone_number": "719-260-6500",
            "fax_number": "719-260-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPRINGS IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "719-955-4332"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.