Healthcare Provider Details

I. General information

NPI: 1235911389
Provider Name (Legal Business Name): BLACKFIN BIOMECHATRONICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2023
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 MAPLE DR
LOVELAND CO
80538-3958
US

IV. Provider business mailing address

PO BOX 2
LOVELAND CO
80539-0002
US

V. Phone/Fax

Practice location:
  • Phone: 970-440-3244
  • Fax:
Mailing address:
  • Phone: 970-440-3244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: CLINT D ACCINNI
Title or Position: CEO
Credential: CPO
Phone: 720-272-1072