Healthcare Provider Details

I. General information

NPI: 1114367208
Provider Name (Legal Business Name): SOUTH DENVER PARKER EKG INTERPRETATION GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2013
Last Update Date: 05/03/2021
Certification Date: 05/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9395 CROWN CREST BLVD
PARKER CO
80138-8573
US

IV. Provider business mailing address

3464 S WILLOW ST 103
DENVER CO
80231-4531
US

V. Phone/Fax

Practice location:
  • Phone: 303-715-2263
  • Fax: 303-703-2119
Mailing address:
  • Phone: 303-755-2900
  • Fax: 303-755-0404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: BRENDA LAMBERT
Title or Position: MANAGING PARTNER
Credential:
Phone: 303-715-2210