Provider Demographics
NPI:1396374351
Name:VASCULAR LABS OF THE ROCKIES PLLC
Entity Type:Organization
Organization Name:VASCULAR LABS OF THE ROCKIES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:DINKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-529-5252
Mailing Address - Street 1:4105 E FLORIDA AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-3636
Mailing Address - Country:US
Mailing Address - Phone:303-529-5252
Mailing Address - Fax:
Practice Address - Street 1:4105 E FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-3620
Practice Address - Country:US
Practice Address - Phone:303-539-0736
Practice Address - Fax:303-539-0737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-02
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1306936885OtherNPPES
CO1952344301OtherNPPES
CO1235454497OtherNPPES
CO1912984386OtherNPPES
CO1942290721OtherNPPES
CO1033116272OtherNPPES
CO1235218942OtherNPPES
CO1093792590OtherNPPES
CO1740222322OtherNPPES