Provider Demographics
NPI:1831123579
Name:HARMONY IMAGING CENTER LLC
Entity Type:Organization
Organization Name:HARMONY IMAGING CENTER LLC
Other - Org Name:THE IMAGING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUNTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-282-2901
Mailing Address - Street 1:2127 E HARMONY RD STE 130
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-3406
Mailing Address - Country:US
Mailing Address - Phone:970-282-2900
Mailing Address - Fax:
Practice Address - Street 1:2127 E HARMONY RD STE 130
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-3406
Practice Address - Country:US
Practice Address - Phone:970-282-2900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO61324531Medicaid
COC65443Medicare PIN