Provider Demographics
NPI:1114109139
Name:PRN READ, P.C.
Entity Type:Organization
Organization Name:PRN READ, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:POPELAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-622-7440
Mailing Address - Street 1:13 S. TEJON ST..
Mailing Address - Street 2:SUITE 501
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1530
Mailing Address - Country:US
Mailing Address - Phone:719-622-7440
Mailing Address - Fax:
Practice Address - Street 1:13 S. TEJON ST..
Practice Address - Street 2:SUITE 501
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1530
Practice Address - Country:US
Practice Address - Phone:719-622-7440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACL264BMedicare PIN
TXTXB103659Medicare PIN
NC2347368Medicare PIN
CACL264AMedicare PIN
COCOB4202Medicare PIN