# PINE CREEK IMAGING, LLC

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

## Provider details

- **NPI number:** 1437493848
- **Authorized official:** MRS. LL PICKLE (MANAGER)
- **Authorized official phone:** (719) 599-0670

## Contact information

- **Practice address:** 9480 BRIAR VILLAGE PT STE 300, COLORADO SPRINGS, CO 80920-7923
- **Practice address phone:** (719) 599-0670
- **Mailing address:** 9480 BRIAR VILLAGE PT., SUITE 300, COLORADO SPRINGS, CO 80920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 11/26/2012
- **Last updated:** 11/26/2012