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Organization
PINE CREEK IMAGING, LLC
Active
Organization
PINE CREEK IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LL PICKLE (MANAGER)
(719) 599-0670
Entity
Organization
Contact information
Practice address
9480 BRIAR VILLAGE PT STE 300, COLORADO SPRINGS, CO 80920-7923
(719) 599-0670
Mailing address
9480 BRIAR VILLAGE PT., SUITE 300, COLORADO SPRINGS, CO 80920
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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