Organization
BANNER NORTHERN COLORADO IMAGING, LLC
Active
Parent organization
BANNER HEALTH
Other names
Larimer County Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
MATTHEW COZ (SR VP FINANCE)
(602) 747-4000
Entity
Organization
Contact information
Practice address
2555 E 13TH ST, LOVELAND, CO 80537-5161
(970) 820-6777
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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