Healthcare Provider Details

I. General information

NPI: 1154295681
Provider Name (Legal Business Name): BEYOND IMAGING 3D MEDICAL LAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13509 W GRAND PL
MORRISON CO
80465-1645
US

IV. Provider business mailing address

13509 W GRAND PL
MORRISON CO
80465-1645
US

V. Phone/Fax

Practice location:
  • Phone: 303-874-8225
  • Fax:
Mailing address:
  • Phone: 303-874-8225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State

VIII. Authorized Official

Name: TINA MARIE FOUCH
Title or Position: OWNER
Credential: R.T.(R)(CT)
Phone: 303-874-8225