=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861566523
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ATG-COLORADO INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/17/2006
-----------------------------------------------------
Last Update Date | 09/21/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9197 W 6TH AVE SUITE 1000
-----------------------------------------------------
City | LAKEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80215-5109
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-781-1474
-----------------------------------------------------
Fax | 303-762-9612
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 805 BROOK ST STE 402
-----------------------------------------------------
City | ROCKY HILL
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06067-3431
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-447-7500
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | MR. TAMAS FEITEL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 314-447-7515
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BC3200X
-----------------------------------------------------
Taxonomy Name | Customized Equipment (DME)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------