# BOULDER MRI, LLC

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

## Provider details

- **NPI number:** 1427334671
- **Authorized official:** MR. JAMES PETERS (VICE PRESIDENT)
- **Authorized official phone:** (303) 440-2304

## Contact information

- **Practice address:** 1000 W SOUTH BOULDER RD, STE: 105, LAFAYETTE, CO 80026-2752
- **Practice address phone:** (303) 604-5031
- **Practice address fax:** (303) 604-5032
- **Mailing address:** 1000 W SOUTH BOULDER RD, STE: 105, LAFAYETTE, CO 80026-2752
- **Mailing address phone:** (303) 604-5031
- **Mailing address fax:** (303) 604-5032

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2011
- **Last updated:** 01/11/2012