| NPI | 1568444271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MCCOLLUM Authorized Rep/Director 970-663-2742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2026-01-07 |