Organization
SOUTHWEST DIAGNOSTIC CENTERS OF COLORADO SPRINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE BENNETT (DIRECTOR OF OPERATIONS)
(719) 380-7210
Entity
Organization
Contact information
Practice address
2020 N ACADEMY BLVD, SUITE 155, COLORADO SPRINGS, CO 80909-1567
(719) 380-7210
(719) 380-7510
Mailing address
2020 NORTH ACADEMY BLVD, SUITE 155, COLORADO SPRINGS, CO 80909-1567
(719) 380-7210
(719) 380-7510
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08982511
—
CO
Enumeration date
05/22/2006
Last updated
12/06/2011
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