# POUDRE VALLEY OPEN MRI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023065844
- **Authorized official:** MICHAEL P BELICK (C.E.O.)
- **Authorized official phone:** (415) 884-3096

## Contact information

- **Practice address:** 2420 E PROSPECT RD, FORT COLLINS, CO 80525-9729
- **Practice address phone:** (970) 493-0567
- **Mailing address:** PO BOX 6102, NOVATO, CA 94948-6102
- **Mailing address phone:** (415) 884-3418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | CO | Yes |
| 261QR0200X | Radiology Clinic/Center | — | CO | — |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 07/14/2008