| NPI | 1366941171 |
|---|---|
| Former Legal Business Name | COAL CREEK DIAGNOSTICS, LLC |
| Entity Type | Organization |
| Authorized Contact | JULIE BYRT Owner 303-666-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |