Healthcare Provider Details

I. General information

NPI: 1598514671
Provider Name (Legal Business Name): CHER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13557 HURON ST STE 100
WESTMINSTER CO
80234
US

IV. Provider business mailing address

8610 EXPLORER DR UNIT 300
COLORADO SPRINGS CO
80920-1036
US

V. Phone/Fax

Practice location:
  • Phone: 303-416-1050
  • Fax: 303-416-1051
Mailing address:
  • Phone: 719-955-4332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: ANDREW BENSON
Title or Position: CRO
Credential:
Phone: 719-955-4332