Iview Diagnostics, Inc.
Organization Active NPI Diagnostic Radiology Physician · Fort Morgan, CO
NPI 1790767416 · NPPES record last updated Apr 24, 2008
Key facts
- NPI
- 1790767416
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- IVIEW DIAGNOSTICS, INC.
- Practice address
- 1000 Lincoln St
Fort Morgan, CO 80701-3290 - Phone
- (719) 542-7891
- NPI assigned
- Nov 17, 2005
- Organization subpart
- No
Authorized official
- Name
- Philip Malone
- Title
- Administrative Manager
- Phone
- (405) 321-8125
Practitioners 1
-
Jay F. Cook, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
1000 Lincoln St
Fort Morgan, CO 80701-3290
Mailing address
PO Box 2039
Pueblo, CO 81004-0039
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53704541 | Medicaid | CO |
NPI Registry JSON
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1790767416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2039",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810040039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LINCOLN ST",
"city": "FORT MORGAN",
"state": "CO",
"postal_code": "807013290",
"telephone_number": "719-542-7891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVIEW DIAGNOSTICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-17",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "MALONE",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
"authorized_official_telephone_number": "405-321-8125"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "53704541",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Morgan, CO
- Jenna Hovde
- Amanda Lauren Hrycaj
- Ronald Hunter
- Rebecca Kay Hutcheson
- Shukri Daud Ibrahim
- J. Kelly Theisen, D.D.S.
- Chaundra Jacobs
- James D Baker
- Jerry Newman Physical Therapy PC
- John F Wolz MD Prof LLC
All providers in Fort Morgan, 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 Apr 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.