Healthcare Provider Details

I. General information

NPI: 1124076286
Provider Name (Legal Business Name): FLATIRONS IMAGING. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 03/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 CENTENNIAL PKWY SUITE 120
LOUISVILLE CO
80027-1281
US

IV. Provider business mailing address

6822 22ND AVE N PMB 430
ST PETERSBURG FL
33710-3918
US

V. Phone/Fax

Practice location:
  • Phone: 720-974-1099
  • Fax: 720-974-0492
Mailing address:
  • Phone: 877-823-3081
  • Fax: 877-252-1857

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: GAYLA D SCRIVENER
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 877-823-3081