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NPI Code Detail

MEDICARE: SOUTHWEST DIAGNOSTIC CENTERS OF COLORADO SPRINGS

MEDICARE: SOUTHWEST DIAGNOSTIC CENTERS OF COLORADO SPRINGS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1200XMagnetic Resonance Imaging (MRI) Clinic/Center
2261QR0200XRadiology Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033164991
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHWEST DIAGNOSTIC CENTERS OF COLORADO SPRINGS
Provider Business Mailing Address
First Line : 2020 NORTH ACADEMY BLVD
Second Line : SUITE 155
City : COLORADO SPRINGS
State : CO
Zip : 80909-1567
Country : US
Telephone Number : 719-380-7210
Fax Number : 719-380-7510
Provider Business Practice Location Address
First Line : 2020 N ACADEMY BLVD
Second Line : SUITE 155
City : COLORADO SPRINGS
State : CO
Zip : 80909-1567
Country : US
Telephone Number : 719-380-7210
Fax Number : 719-380-7510
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : JANICE BENNETT
Credential :
Telephone Number : 719-380-7210
Provider Enumeration Date : 05/22/2006
Last Update Date : 12/06/2011

Similar Medicare Providers

1780644484 — DANIEL W BAER D.O.
Practice Location Address:
2020 N ACADEMY BLVD , SUITE 155
COLORADO SPRINGS, CO
80909-1567
Practice Phone: 719-219-2350
Practice Fax: 719-219-0916
1467408187 — DANIEL BAER DO PC
Practice Location Address:
2020 N ACADEMY BLVD
COLORADO SPRINGS, CO
80909-1567
Practice Phone: 719-219-2350
Practice Fax: 719-219-0916
1235219429 — PETER R BRUMLIK P.A., PHD
Practice Location Address:
2020 N ACADEMY BLVD , SUITE 155
COLORADO SPRINGS, CO
80909-1567
Practice Phone: 719-380-7210
Practice Fax:
1033287396 — WILEY J. JINKINS III M.D.
Practice Location Address:
2020 N ACADEMY BLVD , SUITE 155
COLORADO SPRINGS, CO
80909-1567
Practice Phone: 719-219-0914
Practice Fax: 719-219-0916
1396891149 — DR. JOHN DAVID ANDREW YEAW PSYD
Practice Location Address:
2020 N ACADEMY BLVD STE 276
COLORADO SPRINGS, CO
80909-1567
Practice Phone: 719-425-9673
Practice Fax:
1841479862 — WILEY J JINKINS III MD PC
Practice Location Address:
2020 N ACADEMY BLVD , SUITE 155
COLORADO SPRINGS, CO
80909-1567
Practice Phone: 719-219-0914
Practice Fax:

Directions to “SOUTHWEST DIAGNOSTIC CENTERS OF COLORADO SPRINGS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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