Provider Demographics
NPI:1437338001
Name:BOULDER INTRAOPERATIVE MONITORING
Entity Type:Organization
Organization Name:BOULDER INTRAOPERATIVE MONITORING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEVCIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-339-1499
Mailing Address - Street 1:350 INTERLOCKEN BLVD
Mailing Address - Street 2:SUITE 360
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-3477
Mailing Address - Country:US
Mailing Address - Phone:720-407-2700
Mailing Address - Fax:
Practice Address - Street 1:350 INTERLOCKEN BLVD
Practice Address - Street 2:SUITE 360
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-3477
Practice Address - Country:US
Practice Address - Phone:720-407-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRONERVE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-30
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty