Organization
PLATTE VALLEY MEDICAL IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG FANSELAU (MANAGER)
(303) 498-3618
Entity
Organization
Contact information
Practice address
1606 PRAIRIE CENTER PKWY STE 130, BRIGHTON, CO 80601-4004
(303) 498-3618
(303) 498-3629
Mailing address
1606 PRAIRIE CENTER PKWY STE 130, BRIGHTON, CO 80601-4004
(303) 498-3618
(303) 498-3629
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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