Provider Demographics
NPI:1518117464
Name:MILE HIGH DIAGNOSTIC SERVICES INC
Entity Type:Organization
Organization Name:MILE HIGH DIAGNOSTIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MALAMUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-766-4375
Mailing Address - Street 1:6091 S PARIS ST
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4120
Mailing Address - Country:US
Mailing Address - Phone:303-766-4375
Mailing Address - Fax:303-766-8630
Practice Address - Street 1:6091 S PARIS ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4120
Practice Address - Country:US
Practice Address - Phone:303-766-4375
Practice Address - Fax:303-766-8630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Multi-Specialty