Organization
E PLUS PET IMAGING X LP
Active
Other names
PET Imaging of Wheat Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RHYMER (COO OF GENERAL PARTNER)
(615) 467-7415
Entity
Organization
Contact information
Practice address
8550 W 38TH AVE, SUITE 102, WHEAT RIDGE, CO 80033-4300
(720) 407-0444
(720) 407-0446
Mailing address
8550 W 38TH AVE, SUITE 102, WHEAT RIDGE, CO 80033-4300
(720) 407-0444
(720) 407-0446
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60087765
—
CO
01
—
670772
BLUE CROSS/BLUE SHIELD
CO
01
—
P00179372
RRMEDICARE
—
Enumeration date
05/18/2006
Last updated
04/08/2015
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