Healthcare Provider Details

I. General information

NPI: 1275963340
Provider Name (Legal Business Name): PRECISION IMAGING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2013
Last Update Date: 11/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6825 S GALENA ST SUITE 102
CENTENNIAL CO
80112-3715
US

IV. Provider business mailing address

6825 S GALENA ST SUITE 102
CENTENNIAL CO
80112-3715
US

V. Phone/Fax

Practice location:
  • Phone: 303-568-9646
  • Fax: 720-420-9272
Mailing address:
  • Phone: 303-568-9646
  • Fax: 720-420-9272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number StateCO

VIII. Authorized Official

Name: MR. MARK RAHE
Title or Position: ADMINISTRATOR
Credential:
Phone: 303-790-2225