Provider Demographics
NPI:1487687190
Name:RADIOLOGY SPECIALISTS OF DENVER-PC
Entity Type:Organization
Organization Name:RADIOLOGY SPECIALISTS OF DENVER-PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-941-7000
Mailing Address - Street 1:210 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 77
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4616
Mailing Address - Country:US
Mailing Address - Phone:720-941-7000
Mailing Address - Fax:720-274-2138
Practice Address - Street 1:210 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 77
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4616
Practice Address - Country:US
Practice Address - Phone:720-941-7000
Practice Address - Fax:720-274-2138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO00657352Medicaid
COC362108Medicare ID - Type Unspecified