Colorado Electrodiagnostic Services, LLC

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

COLORADO ELECTRODIAGNOSTIC SERVICES, LLC

Practice address

6825 S Galena St
Suite 300
Centennial, CO 80112-3715

Phone

(720) 988-7801

Fax

(303) 790-2445

NPI assigned

Jan 30, 2012

Last updated

Feb 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark A Rahe

Title

Ceo

Phone

(720) 988-7801

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1952673410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 S GALENA ST",
            "address_2": "SUITE 300",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123715",
            "telephone_number": "720-988-7801",
            "fax_number": "303-790-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 S GALENA ST",
            "address_2": "SUITE 300",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123715",
            "telephone_number": "720-988-7801",
            "fax_number": "303-790-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO ELECTRODIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "RAHE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-988-7801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Technician in Centennial, CO
• Providers in Centennial, CO by specialty
• Other Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.