Provider Demographics
NPI:1346485539
Name:IMAGEPLUS HEALTH CONCEPTS, INC
Entity Type:Organization
Organization Name:IMAGEPLUS HEALTH CONCEPTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF NUTRITION SERVICE
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, RD, CLT
Authorized Official - Phone:888-314-9998
Mailing Address - Street 1:7931 S BROADWAY
Mailing Address - Street 2:STE. 197
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2710
Mailing Address - Country:US
Mailing Address - Phone:888-314-9998
Mailing Address - Fax:866-454-6694
Practice Address - Street 1:7931 S BROADWAY
Practice Address - Street 2:STE. 197
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2710
Practice Address - Country:US
Practice Address - Phone:888-314-9998
Practice Address - Fax:866-454-6694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty