National Provider Identifier Database

POUDRE VALLEY OPEN MRI LLC
Magnetic Resonance Imaging (MRI)


Contact Information

POUDRE VALLEY OPEN MRI, LLC
2420 E PROSPECT RD
FORT COLLINS, CO80525-9729
Phone: 970-493-0567
Fax:
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging (MRI) 261QM1200X
Radiology 261QR0200X

* Indicates primary specialty

NPI Profile & details for POUDRE VALLEY OPEN MRI, LLC

NPI Number 1023065844
Legal business name
LBN
POUDRE VALLEY OPEN MRI, LLC
Authorized official MICHAEL BELICK - (C.E.O.)
Entity Organization
Organization subpart No
Enumeration date 05/27/2006
Last updated 07/14/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • CO Medicaid: 81833237
  • CO Other: P00080903 RAILROAD MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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