Provider Demographics
NPI:1942480983
Name:AMT COLORADO LLC
Entity Type:Organization
Organization Name:AMT COLORADO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ULIBARRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-872-1683
Mailing Address - Street 1:851 E 73RD AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80229-6815
Mailing Address - Country:US
Mailing Address - Phone:720-872-1683
Mailing Address - Fax:303-280-3964
Practice Address - Street 1:851 E 73RD AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80229-6815
Practice Address - Country:US
Practice Address - Phone:720-872-1683
Practice Address - Fax:303-280-3964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies