# ENDOSCOPY CENTER OF THE ROCKIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Endoscopy Center of the Rockies Lafayette
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700807617
- **Authorized official:** DR. DAUS MAHNKE MD (BOARD MEMBER)
- **Authorized official phone:** (303) 604-5000

## Contact information

- **Practice address:** 1000 W SOUTH BOULDER RD, SUITE 202, LAFAYETTE, CO 80026-2752
- **Practice address phone:** (303) 604-5000
- **Practice address fax:** (720) 890-0364
- **Mailing address:** 382 S ARTHUR AVE, LOUISVILLE, CO 80027-3094
- **Mailing address phone:** (303) 604-5000
- **Mailing address fax:** (720) 890-0364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 1064 | CO | Yes |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 03/05/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 490005424 | RAILROAD MEDICARE | CO |
| 05 | — | 95055011 | — | CO |
| 01 | — | EN64670 | BCBS | CO |