NPIMap

Organization Active NPI

Colorado Springs Imaging LLC

Doing business as Colorado Springs Imaging East

  • Physiological Laboratory
  • Colorado Springs, CO
National Provider Identifier
1831855030
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
COLORADO SPRINGS IMAGING LLC
Doing business as
Colorado Springs Imaging East
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
Last updated
Oct 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Authorized official

Name
Andrew Benson
Title
Revenue Cycle Director
Phone
(719) 955-4332

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X
Physiological Laboratory 293D00000X Primary

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 1

  • Colorado Springs Imaging East Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220408001241 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
06D2250407Colorado Springs Imaging East6616 Dalby Drive Ste 160, Colorado Springs, CO 80923Certificate of waiverJan 26, 2028

National Provider Directory

National Provider Directory
Tax ID family
Colorado Springs Imaging LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6005 Delmonico Dr
Ste 180
Colorado Springs, CO 80919
Phone (719) 260-6500

6616 Dalby Dr
Ste 130
Colorado Springs, CO 80923

6616 Dalby Dr
Ste 140
Colorado Springs, CO 80923

6616 Dalby Dr
Ste 160
Colorado Springs, CO 80923
Phone (719) 505-7200

Practitioners & affiliated clinicians

Practitioners 116

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 116

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1831855030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 EXPLORER DR UNIT 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201036",
            "telephone_number": "719-955-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6616 DALBY DR STE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809239586",
            "telephone_number": "719-505-7200",
            "fax_number": "719-505-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPRINGS IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "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": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Springs Imaging East",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colorado Springs Imaging East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 27, 2026; 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.