Miles Medical Group Llc

LBN: Miles Medical Group Llc
Miles Medical Group Llc is an health care organization with primary practice located at 1942 Broadway Ste 314C , Boulder CO 80302-5233. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Miles Medical Group Llc can be contacted via phone (970) 306-6819, or through Labove, Hannah via phone (970) 306-6819.

Contact Information

Primary practice address
1942 Broadway Ste 314C Boulder CO 80302-5233
Phone: (970) 306-6819
Fax: (650) 374-5584
Website:
Map and Directions
Authorized official contact:
Name: Labove, Hannah Doctor of Medicine (MD)
Phone: (970) 306-6819

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1215641683
LBN Legal business name Miles Medical Group Llc
DBA Doing business as
Authorized official Labove, Hannah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2023
Last updated Jan 3rd, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215641683 NPPES
Colorado MEDICAID 1477087146
Colorado MEDICAID 1477087146

Popular Providers