Cerehealth Mso, LLC

Primary specialty

Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X

License

46173 Issued in CO

Legal business name

CEREHEALTH MSO, LLC

Practice address

991 Southpark Dr
200
Littleton, CO 80120-5688

Phone

(720) 242-9081

Fax

(866) 433-3965

NPI assigned

Feb 20, 2015

Organization subpart

No

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

Authorized official

Name

Brad Amman

Title

Cfo

Phone

(720) 838-2785

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1801288352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 SOUTHPARK DR",
            "address_2": "200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 SOUTHPARK DR",
            "address_2": "200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205688",
            "telephone_number": "720-242-9081",
            "fax_number": "866-433-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREHEALTH MSO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "AMMAN",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "720-838-2785"
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "CO",
            "license": "46173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Neuroimaging (Radiology) Physician in Littleton, CO
• Providers in Littleton, CO by specialty
• Diagnostic Neuroimaging (Radiology) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.