Provider Demographics
NPI:1497993943
Name:RANEY, LAURENCE R (RPARRART,R,CT,QM,BD)
Entity Type:Individual
Prefix:
First Name:LAURENCE
Middle Name:R
Last Name:RANEY
Suffix:
Gender:M
Credentials:RPARRART,R,CT,QM,BD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 NORTH AVE
Mailing Address - Street 2:RADIOLOGY-114
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-6428
Mailing Address - Country:US
Mailing Address - Phone:970-242-0731
Mailing Address - Fax:970-256-8907
Practice Address - Street 1:2121 NORTH AVE
Practice Address - Street 2:RADIOLOGY-114
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-6428
Practice Address - Country:US
Practice Address - Phone:970-242-0731
Practice Address - Fax:970-256-8907
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04CO1111243U00000X
CO1945252471C3401X, 2471C3402X, 2471Q0001X, 2471B0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant
No2471C3401XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistComputed Tomography
No2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography
No2471Q0001XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistQuality Management
No2471B0102XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistBone Densitometry