Provider Demographics
NPI:1952574584
Name:MEDICAL MODELING INC
Entity type:Organization
Organization Name:MEDICAL MODELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:P
Authorized Official - Last Name:DRURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-273-5344
Mailing Address - Street 1:17301 W COLFAX AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-4891
Mailing Address - Country:US
Mailing Address - Phone:303-273-5344
Mailing Address - Fax:303-273-6463
Practice Address - Street 1:17301 W COLFAX AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-4891
Practice Address - Country:US
Practice Address - Phone:303-273-5344
Practice Address - Fax:303-273-6463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO13524852Medicaid