Organization
MEDICAL IMAGING OF COLORADO RADIOLOGY IMAGING ASSC PC ETAL PT
Active
Organization
MEDICAL IMAGING OF COLORADO RADIOLOGY IMAGING ASSC PC ETAL PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA SCHMUCKER (REVENUE CYCLE BILLING MANAGER)
(720) 493-3712
Entity
Organization
Contact information
Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE, ENGLEWOOD, CO 80112-3894
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074088801
—
TX
05
—
100370940A
—
KS
05
—
123484600
—
WY
01
—
18062
PRES SALUD MEDICAID MIC
—
05
—
4007803
—
CO
01
—
5797650
AETNA MIC
—
01
—
8489712601
PACIFICARE MIC
—
01
—
CC8768
RR MEDICARE MIC
—
01
—
CO1190
HEALTHNET NE MIC
—
01
—
MEW4008
BCBS MIC
—
Enumeration date
06/06/2006
Last updated
05/23/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up