| Coal Creek Diagnostics, Llc | |
|
315 W South Boulder Rd Ste 100 Louisville CO 80027-1157 | |
| (303) 666-4151 | |
| (303) 666-4166 |
| Full Name | Coal Creek Diagnostics, Llc |
|---|---|
| Speciality | Radiology - Diagnostic Ultrasound |
| Location | 315 W South Boulder Rd Ste 100, Louisville, Colorado |
| Authorized Official Name and Position | Julie Byrt (OWNER) |
| Authorized Official Contact | 3036664151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coal Creek Diagnostics, Llc 315 W South Boulder Rd Ste 100 Louisville CO 80027-1157 Ph: (303) 666-4151 | Coal Creek Diagnostics, Llc 315 W South Boulder Rd Ste 100 Louisville CO 80027-1157 Ph: (303) 666-4151 |
| NPI Number | 1366941171 |
|---|---|
| Provider Enumeration Date | 02/07/2018 |
| Last Update Date | 02/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366941171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 2085U0001X | Radiology - Diagnostic Ultrasound | (* (Not Available)) | Primary |
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