| NPI | 1942081153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BENSON VP Operations 719-955-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| 261QR0200X Clinic/Center Radiology | |
| 261QR0206X Clinic/Center Radiology, Mammography | |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2024-03-25 |