Organization
AIM DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J AVILA DC (PRESIDENT)
(719) 246-7766
Entity
Organization
Contact information
Practice address
1208 EAGLERIDGE BLVD STE C, PUEBLO, CO 81008-2329
(719) 246-7766
Mailing address
1208 EAGLERIDGE BLVD STE C, PUEBLO, CO 81008-2329
(719) 246-7766
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
293D00000X
Physiological Laboratory
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
11/21/2013
Last updated
04/06/2021
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