Provider Demographics
NPI:1093764201
Name:HEALTH IMAGES AURORA SOUTH, INC
Entity Type:Organization
Organization Name:HEALTH IMAGES AURORA SOUTH, INC
Other - Org Name:HEALTHSOUTH DIAG. CTR - AURORA SOUTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:K
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-685-5116
Mailing Address - Street 1:1300 S POTOMAC ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-6166
Mailing Address - Country:US
Mailing Address - Phone:303-750-8400
Mailing Address - Fax:303-751-0360
Practice Address - Street 1:1300 S POTOMAC ST
Practice Address - Street 2:SUITE 110
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-6166
Practice Address - Country:US
Practice Address - Phone:303-750-8400
Practice Address - Fax:303-751-0360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO443248Medicare ID - Type UnspecifiedIDTF