Healthcare Provider Details

I. General information

NPI: 1457266017
Provider Name (Legal Business Name): VENTURE DX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 PINON RANCH VW STE 3
COLORADO SPGS CO
80907-3578
US

IV. Provider business mailing address

915 PINON RANCH VW STE 3
COLORADO SPGS CO
80907-3578
US

V. Phone/Fax

Practice location:
  • Phone: 719-309-5362
  • Fax:
Mailing address:
  • Phone: 719-309-5362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ABDUL ZEESHAN A MOHAMMED
Title or Position: CEO
Credential:
Phone: 719-309-5362