# SCLTDI JV, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Touchstone Imaging Wheat Ridge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700283496
- **Authorized official:** KATRINA ROELLE (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (614) 689-1691

## Contact information

- **Practice address:** 7615 W 38TH AVE, SUITE 115 AND B107, WHEAT RIDGE, CO 80033-6028
- **Practice address phone:** (303) 318-2900
- **Mailing address:** PO BOX 746001, ATLANTA, GA 30374-6001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 11/25/2014
- **Last updated:** 11/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 47100257 | — | CO |
