Healthcare Provider Details
I. General information
NPI: 1245041177
Provider Name (Legal Business Name): DR MHJ DIAGNOSTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/20/2025
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5350 TOMAH DR STE 1300
COLORADO SPRINGS CO
80918-6983
US
IV. Provider business mailing address
5350 TOMAH DR STE 1300
COLORADO SPRINGS CO
80918-6983
US
V. Phone/Fax
- Phone: 303-970-3429
- Fax:
- Phone: 303-970-3429
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARY
HOLDEN
JONES
Title or Position: OWNER
Credential:
Phone: 205-552-8691