# PARKSIDE CT GROUP, LLC

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

## Provider details

- **NPI number:** 1639215833
- **Authorized official:** NANCY J TOLLEFSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (719) 471-1775

## Contact information

- **Practice address:** 215 PARKSIDE DR STE 100, COLORADO SPRINGS, CO 80910-3136
- **Practice address phone:** (719) 471-1775
- **Practice address fax:** (719) 632-6055
- **Mailing address:** 215 PARKSIDE DR STE 100, COLORADO SPRINGS, CO 80910-3136
- **Mailing address phone:** (719) 471-1775
- **Mailing address fax:** (719) 632-6055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471C3401X | Computed Tomography Radiologic Technologist | 96504 | CO | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 08/22/2020