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Organization
COLORADO OPEN IMAGING, LLC
Active
Organization
COLORADO OPEN IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER)
(502) 477-1815
Entity
Organization
Contact information
Practice address
1120 W SOUTH BOULDER RD, STE 101, LAFAYETTE, CO 80026-8952
(303) 926-5466
(303) 926-5461
Mailing address
1120 W SOUTH BOULDER RD, STE 101, LAFAYETTE, CO 80026-8952
(303) 926-5466
(303) 926-5461
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
NULL
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
—
Other
Enumeration date
05/23/2005
Last updated
08/22/2020
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