Provider Demographics
NPI:1750874400
Name:DENVER DIAGNOSTIC ASC, LLC
Entity type:Organization
Organization Name:DENVER DIAGNOSTIC ASC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEADER OF THE PCM BILLING TEAM
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTOPHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-673-5147
Mailing Address - Street 1:11 W DRY CREEK CIR STE 120
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-8078
Mailing Address - Country:US
Mailing Address - Phone:303-951-8100
Mailing Address - Fax:
Practice Address - Street 1:11 W DRY CREEK CIR STE 120
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8078
Practice Address - Country:US
Practice Address - Phone:303-951-8100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-07
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical