Pueblo Imaging Center, Llc

LBN: Pueblo Imaging Center, Llc
Pueblo Imaging Center, Llc is an health care organization with primary practice located at 404 W 12Th St , Pueblo CO 81003-2815. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pueblo Imaging Center, Llc can be contacted via phone (719) 542-0172, or through Miller, Larae Ann via phone (719) 542-0172.

Contact Information

Primary practice address
404 W 12Th St Pueblo CO 81003-2815
Phone: (719) 542-0172
Fax: (719) 542-5072
Website:
Map and Directions
Authorized official contact:
Name: Miller, Larae Ann
Phone: (719) 542-0172

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 5047 Colorado

Profile Details

NPI number 1497713960
LBN Legal business name Pueblo Imaging Center, Llc
DBA Doing business as
Authorized official Miller, Larae Ann
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497713960 NPPES
Colorado MEDICAID 31789013

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