Provider Demographics
NPI:1902815830
Name:ASPEN MEDICAL MONITORING LLC
Entity Type:Organization
Organization Name:ASPEN MEDICAL MONITORING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:ERY
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:303-429-0509
Mailing Address - Street 1:5142 S XENOPHON CT
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-1529
Mailing Address - Country:US
Mailing Address - Phone:303-429-0509
Mailing Address - Fax:303-426-4895
Practice Address - Street 1:5142 S XENOPHON CT
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-1529
Practice Address - Country:US
Practice Address - Phone:303-429-0509
Practice Address - Fax:303-426-4895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC1220227900000X
293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes293D00000XLaboratoriesPhysiological Laboratory
No227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC445528Medicare PIN