# COLORADO ADVANCED ENDOVASCULAR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COLORADO IMAGING ASSOCIATES, PC
- **Other names:** Colorado Imaging Associates, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629829098
- **Legal business name:** COLORADO IMAGING ASSOCIATES, PC
- **Authorized official:** ASHLEY DORMAN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (720) 669-3036

## Contact information

- **Practice address:** 355 UNION BLVD STE 150, LAKEWOOD, CO 80228-6516
- **Practice address phone:** (720) 669-3036
- **Practice address fax:** (720) 545-1584
- **Mailing address:** 7375 W 52ND AVE STE 210, ARVADA, CO 80002-3748
- **Mailing address phone:** (303) 223-4448
- **Mailing address fax:** (720) 501-5199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2024
- **Last updated:** 04/01/2024