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Organization
SOUTHWEST DIAGNOSTIC CENTERS OF COLORADO SPRINGS
Active
Organization
SOUTHWEST DIAGNOSTIC CENTERS OF COLORADO SPRINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE BENNETT (DIRECTOR OF OPERATIONS)
(719) 380-7210
Entity
Organization
Contact information
Practice address
2020 N ACADEMY BLVD, SUITE 155, COLORADO SPRINGS, CO 80909-1567
(719) 380-7210
(719) 380-7510
Mailing address
2020 NORTH ACADEMY BLVD, SUITE 155, COLORADO SPRINGS, CO 80909-1567
(719) 380-7210
(719) 380-7510
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08982511
—
CO
Enumeration date
05/22/2006
Last updated
12/06/2011
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