Colorado Springs Imaging LLC
Organization Active NPI Diagnostic Radiology Physician · Colorado Springs, CO
NPI 1831855030 · NPPES record last updated Jan 3, 2022
Key facts
- NPI
- 1831855030
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- COLORADO SPRINGS IMAGING LLC
- Practice address
- 6616 Dalby Dr Ste 160
Colorado Springs, CO 80923-9586 - Phone
- (719) 505-7200
- Fax
- (719) 505-7205
- NPI assigned
- Nov 11, 2021
- Organization subpart
- No
Authorized official
- Name
- Andrew Benson
- Title
- Revenue Cycle Director
- Phone
- (719) 955-4332
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 3
Practitioners 116
-
Elizabeth Carpenter, M.D.
-
Erin A Cooke, MD
-
Eric R. Handley, M.D.
-
James Clark Haug, D.O
-
Charles P Ho, M.D.
-
Dylan Hoyt, MD
-
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.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2250407 | Colorado Springs Imaging East | Certificate of waiver | Jan 26, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220408001241 | CO | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 5496799652 | Practice locations: Colorado Springs, CO |
National Provider Directory
- Tax ID family
- Colorado Springs Imaging LLC
Locations
6616 Dalby Dr
Ste 160
Colorado Springs, CO 80923
Phone (719) 505-7200
6616 Dalby Dr
Ste 130
Colorado Springs, CO 80923
6616 Dalby Dr
Ste 140
Colorado Springs, CO 80923
6005 Delmonico Dr
Ste 180
Colorado Springs, CO 80919
Phone (719) 260-6500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
6616 Dalby Dr Ste 160
Colorado Springs, CO 80923-9586
Mailing address
8610 Explorer Dr Unit 300
Colorado Springs, CO 80920-1036
Phone (719) 955-4332
Other names
- Colorado Springs Imaging East
Other providers in Colorado Springs, CO
- 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
- Colorado Springs Internal Medicine
- Colorado Springs Internal Medicine PC
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 Jan 3, 2022. 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.