Healthcare Provider Details

I. General information

NPI: 1255306726
Provider Name (Legal Business Name): COLORADO IMAGING ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2006
Last Update Date: 02/23/2024
Certification Date: 02/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11600 WEST 2ND PLACE
LAKEWOOD CO
80228
US

IV. Provider business mailing address

7375 W 52ND AVE STE 210
ARVADA CO
80002-3748
US

V. Phone/Fax

Practice location:
  • Phone: 720-321-0000
  • Fax: 720-321-1621
Mailing address:
  • Phone: 303-223-4448
  • Fax: 720-501-5199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: KEVIN WOOLLEY
Title or Position: MD
Credential:
Phone: 303-416-1360