Healthcare Provider Details

I. General information

NPI: 1629481551
Provider Name (Legal Business Name): CHER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2014
Last Update Date: 05/18/2023
Certification Date: 05/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6159 S SOUTHLANDS PKWY UNIT B
AURORA CO
80016-5317
US

IV. Provider business mailing address

6159 S SOUTHLANDS PKWY UNIT B
AURORA CO
80016-5317
US

V. Phone/Fax

Practice location:
  • Phone: 303-341-7731
  • Fax: 303-341-4394
Mailing address:
  • Phone: 303-341-7731
  • Fax: 303-341-4394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFF R JONES
Title or Position: MANAGER
Credential:
Phone: 719-955-4332