MEDICARE: UCHEALTH IMAGING SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center
2	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1073223574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UCHEALTH IMAGING SERVICES, LLC

Provider Business Mailing Address
First Line	:	2695 ROCKY MOUNTAIN AVE STE 150
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9071
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1370 INTERQUEST PKWY
Second Line	:	STE 300
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80921-4340
Country	:	US
Telephone Number	:	719-364-3750
Fax Number	:	719-364-3751

Authorized Official
Title or Position	:	CFO
Name	:	TODD NEWELL HOFHEINS
Credential	:
Telephone Number	:	720-848-0000

Provider Enumeration Date	:	11/25/2022
Last Update Date	:	08/26/2025

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