Provider Demographics
NPI:1811551161
Name:UCHEALTH IMAGING SERVICES, LLC
Entity Type:Organization
Organization Name:UCHEALTH IMAGING SERVICES, LLC
Other - Org Name:UCHEALTH IMAGING SERVICES - HRH MOB X-RAY
Other - Org Type:Other Name
Authorized Official - Title/Position:UCHEALTH CHIEF FIINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:RIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-516-4085
Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1500 PARK CENTRAL DR STE 401
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-6935
Practice Address - Country:US
Practice Address - Phone:720-516-4085
Practice Address - Fax:720-516-4086
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UCHEALTH IMAGING SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-23
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology