Flatirons Sports Medicine Or Source 1-Dme

LBN: Source 1
Flatirons Sports Medicine Or Source 1-Dme is an health care organization with primary practice located at 3550 Luthern Parkway Suite 210, Wheat Ridge CO 80033. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Source 1 can be contacted via phone (303) 456-6051, or through Fox, Tracy John via phone (303) 324-7674.

Contact Information

Primary practice address
3550 Luthern Parkway Suite 210 Wheat Ridge CO 80033
Fax: (303) 456-6052
Website:
Authorized official contact:
Name: Fox, Tracy John

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 4274647 Colorado

Profile Details

NPI number 1821321860
LBN Legal business name Source 1
DBA Doing business as Flatirons Sports Medicine Or Source 1-Dme
Authorized official Fox, Tracy John
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 9th, 2009
Last updated Sep 15th, 2009 - about 17 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 1821321860 NPPES
Colorado Other 1609109776 MAIN BUSINESS LOCATION NPI FOR SOURCE 1

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