Healthcare Provider Details

I. General information

NPI: 1982159232
Provider Name (Legal Business Name): THREE SPRINGS IMAGING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2016
Last Update Date: 02/23/2024
Certification Date: 07/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MERCADO ST SUITE 200A
DURANGO CO
81301-7306
US

IV. Provider business mailing address

1 MERCADO ST SUITE 200A
DURANGO CO
81301-7306
US

V. Phone/Fax

Practice location:
  • Phone: 970-764-3924
  • Fax:
Mailing address:
  • Phone: 970-764-3924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: VANESSA HAMER
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 970-764-2284