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General NPI Number Information
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NPI Number | 1073558474
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Entity Type | Organization
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Legal Business Name | COLORADO DIAGNOSTIC MEDICINE, LLC
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5920 S ESTES ST STE. 150
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City | LITTLETON
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State | CO
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Zip | 80123-8618
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Country | US
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Telephone | 303-948-5765
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Fax | 303-948-5761
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Provider Business Mailing Address
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Address Line | 4374 RELIABLE PARKWAY
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City | CHICAGO
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State | IL
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Zip | 60686-0001
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Country | US
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Telephone | 314-839-9901
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Fax | 314-839-9902
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Authorized Official
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Title or Position | CEO
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Name | MR. SYED HAIDER
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Credential |
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Telephone | 314-839-9901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | NA
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License Number State | CO
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