Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nuclear Imaging & Therapy |
207UN0902X | 36 | Physician/Nuclear Medicine |
| NPI # | 1427447614 |
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| LBN Legal business name | MOLECULAR IMAGING OF COLORADO LLC | ||||
| Authorized official | BRAD AMMAN - (CFO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 01/12/2015 | ||||
| Last updated | 02/17/2016 - About 10 years ago | ||||
| Identifiers |
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