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Contact Information

5280 IOM PRO, LLC
1700 BASSETT ST UNIT 1021
DENVER, CO80202-1921
 Phone: 346-221-1597
 Fax: 832-581-4677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for 5280 IOM PRO, LLC

NPI Number 1144779380
LBN Legal business name 5280 IOM PRO, LLC
Authorized official JULIEANN BISHOP - (CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2016
Last updated 09/29/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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