Organization
CHERRY CREEK IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT P. ALLEN M.D. (PRESIDENT)
(303) 355-4674
Entity
Organization
Contact information
Practice address
12687 W CEDAR DR, SUITE 200, LAKEWOOD, CO 80228-2010
(303) 355-4674
(303) 355-7865
Mailing address
P.O. BOX 809, DENVER, CO 80206-0809
(303) 468-1395
(303) 355-7865
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58952225
—
CO
01
—
C554478
TRAILBLAZER MEDICAR
CO
Enumeration date
06/24/2006
Last updated
12/13/2011
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