Organization
MRIGP INC
Active
Other names
Advanced Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
JYL A NIETO (BILLING MANAGER)
(303) 433-9729
Entity
Organization
Contact information
Practice address
2490 W 26TH AVE, SUITE 120A, DENVER, CO 80211-5314
(303) 223-4441
Mailing address
2490 W 26TH AVE, SUITE 220A, DENVER, CO 80211-5314
(303) 223-4441
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04005112
—
CO
01
—
4498777
AETNA
CO
01
—
842678
UNITED HEALTHCARE
CO
01
—
CE1844
RAILROAD MEDICAID
CO
01
—
MR673162
ANTHEM
CO
Enumeration date
05/17/2006
Last updated
08/03/2010
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