Active NPI
Intradiagnostics, Inc.
- EEG Specialist/Technologist
- Colorado Springs, CO
National Provider Identifier
1841692308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- EEG Specialist/Technologist
- Legal business name
- INTRADIAGNOSTICS, INC.
- Practice address
- 13 S. Tejon St.
Suite 501
Colorado Springs, CO 80903-1530 - Phone
- (719) 622-7440
- NPI assigned
- Sep 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Popelar
- Title
- Controller
- Phone
- (719) 622-7440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| EEG Specialist/Technologist | 246ZE0500X | Primary |
Addresses
Primary practice location
13 S. Tejon St.
Suite 501
Colorado Springs, CO 80903-1530
Mailing address
13 S. Tejon St.
Suite 501
Colorado Springs, CO 80903-1530
Phone (719) 622-7440
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410825600000",
"number": "1841692308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 S. TEJON ST.",
"address_2": "SUITE 501",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809031530",
"telephone_number": "719-622-7440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 S. TEJON ST.",
"address_2": "SUITE 501",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809031530",
"telephone_number": "719-622-7440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTRADIAGNOSTICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-16",
"last_updated": "2014-09-16",
"status": "A",
"authorized_official_last_name": "POPELAR",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "719-622-7440"
},
"taxonomies": [
{
"code": "246ZE0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, EEG",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.