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General NPI Number Information
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NPI Number | 1154295681
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Entity Type | Organization
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Legal Business Name | BEYOND IMAGING 3D MEDICAL LAB LLC
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 13509 W GRAND PL
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City | MORRISON
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State | CO
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Zip | 80465-1645
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Country | US
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Telephone | 303-874-8225
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Fax |
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Provider Business Mailing Address
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Address Line | 13509 W GRAND PL
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City | MORRISON
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State | CO
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Zip | 80465-1645
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Country | US
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Telephone | 303-874-8225
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TINA MARIE FOUCH
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Credential | R.T.(R)(CT)
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Telephone | 303-874-8225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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