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Contact Information

RIA ENDOVASCULAR, LLC
8200 E BELLEVIEW AVE
#600E
GREENWOOD VILLAGE, CO80111
 Phone: 720-493-3406
 Fax: 303-643-4510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for RIA ENDOVASCULAR, LLC

NPI Number 1558301077
LBN Legal business name RIA ENDOVASCULAR, LLC
Authorized official GRACEANN GRILLO - (CREDENTIALING SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2006
Last updated 03/31/2024 - About 2 years ago
Identifiers
CO Medicaid 30058082
Other 7655666 AETNA IVLC
Other DD7304 RR MEDICARE IVLC
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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