Organization
DIAGNOSTIC IMAGING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF D MOREY (COO)
(303) 761-9190
Entity
Organization
Contact information
Practice address
10700 E GEDDES AVE, #200, ENGLEWOOD, CO 80112-3800
(303) 761-9190
(303) 761-6322
Mailing address
PO BOX 272022, DENVER, CO 80227-9022
(303) 761-9190
(303) 761-6322
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18062
PRES SALUD MEDICAID DIA
—
05
—
4934048
—
CO
01
—
8162030
AETNA DIA
—
01
—
CC8410
RR MEDICARE DIA
—
01
—
DIW5008
BCBS DIA
—
Enumeration date
06/05/2006
Last updated
04/20/2008
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