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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
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

IdentifierTypeStateIssuer
53704541MedicaidCO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 24, 2008.

{
    "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

All providers in Fort Morgan, CO · Diagnostic Radiology Physician in Colorado

Sources for this page

Verify at the official NPI Registry.