Healthcare Provider Details
I. General information
NPI: 1437061074
Provider Name (Legal Business Name): FIRST LOOK MRI CENTENNIAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6997 S UNIVERSITY BLVD
CENTENNIAL CO
80122-1545
US
IV. Provider business mailing address
2730 NORTHLAKE RD
GAINESVILLE GA
30506-1835
US
V. Phone/Fax
- Phone: 720-541-5530
- Fax:
- Phone: 678-316-2677
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRIAN
GAY
Title or Position: OWNER
Credential: MD
Phone: 678-316-2677