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Organization

MOUNTAIN RADIOLOGY, INC

Active
Parent organization
MOUNTAIN RADIOLOGY, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MOUNTAIN RADIOLOGY, PC
Authorized official
KAREN MARIE VAUGHN (AO)
(629) 317-1465
Entity
Organization

Contact information

Practice address
2635 N 7TH ST, GRAND JUNCTION, CO 81501-8209
(970) 945-7564
Mailing address
PO BOX 85500, CHICAGO, IL 60689-5500
(970) 900-6856

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2085R0204X
Vascular & Interventional Radiology Physician
2085U0001X
Diagnostic Ultrasound Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04002960
CO
Enumeration date
10/14/2020
Last updated
03/26/2026
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