Organization · Type 2 NPI

Boulder Community Health Sports Medicine Imaging LLC

Radiology Clinic/Center · Boulder, CO

NPI number 1285017673 Active

Practice location

2150 Stadium Dr Fl 2, Suite 100
Boulder, CO 80309-0380

Call (303) 315-9901 Map

Fax (303) 315-9902

Mailing address

PO Box 9019
Boulder, CO 80301-9019

Specialties and licenses

Taxonomy	Code	License
Radiology Clinic/Center Primary	261QR0200X	None listed

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NPI record

NPI: 1285017673
Entity type: Organization (Type 2)
Issued: Jul 2, 2015
Last updated: Aug 6, 2015
Status: Active

Other names

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Boulder Community Health Sports Medicine Imaging LLC · doing business as

Authorized official

Mr. William Munson
V.p. and Chief Financial Officer
(303) 415-7433

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About NPI 1285017673

Boulder Community Health Sports Medicine Imaging LLC's National Provider Identifier is 1285017673, issued on Jul 2, 2015. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Boulder, CO. The record was last updated on Aug 6, 2015.