Provider Demographics
NPI:1922556083
Name:UGORJI RADIOLOGY CONSULTANTS, LLC
Entity Type:Organization
Organization Name:UGORJI RADIOLOGY CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RADIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ONUOHA
Authorized Official - Last Name:UGORJI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:513-878-5789
Mailing Address - Street 1:7550 S BLACKHAWK ST
Mailing Address - Street 2:#6-208
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-4068
Mailing Address - Country:US
Mailing Address - Phone:513-878-5789
Mailing Address - Fax:
Practice Address - Street 1:7550 S BLACKHAWK ST
Practice Address - Street 2:#6-208
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-4068
Practice Address - Country:US
Practice Address - Phone:513-878-5789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-19
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.00556252085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty