ROCKY MOUNTAIN EEG LLC (NPI# 1194322834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194322834 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN EEG LLC |
| Practice Address |
224 E Willamette Ave Ofc 8 Colorado Springs CO 80903-1114 |
| Mailing Address |
15608 Hatterly Ln Edmond OK 73013-4181 |
| Practice Telephone | 4052861016 |
| Practice Fax Number | 4052422016 |
| Mailing Telephone | 4058084170 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | ZAK THOMPSON (PRESIDENT) |
| Authorized Official Telephone | 4052861016 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Rocky Mountain EEG LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Rocky Mountain EEG LLC | 224 E Willamette Ave, Office #8, Colorado Springs, CO 80903 |
| Street Address |
224 E WILLAMETTE AVE OFC 8 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108276 | Pdi Health Co LLC | Clinic/Center | 102 S Tejon St, Colorado Springs, CO 80903-2231 | 2020-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629618558 | Remote Access Diagnostic Services | Clinic/Center | 14221 E 4th Ave Ste 2-221, Aurora, CO 80011-8735 | 2020-01-08 |
| 1952949521 | George J Martinez | Clinic/Center | 12516 Bryant St, Broomfield, CO 80020-3844 | 2019-12-14 |
| 1760711360 | Sound Diagnostic Imaging, Inc | Clinic/Center | 4105 Muirfield Ct, Pueblo, CO 81001-1107 | 2009-12-11 |
| 1881892693 | Cronos-prim Colorado LLC | Clinic/Center | 1200 S. Monaco Pkwy Unit 19, Denver, CO 80224 | 2007-07-03 |
| 1073645040 | Colorado Sonographics Inc | Clinic/Center | 549 Wild Ridge Ln, Lafayette, CO 80026-2568 | 2007-03-12 |
| 1972086239 | Precision Clinical Diagnostics | Clinic/Center | 11275 E Mississippi Ave Ste 2w1, Aurora, CO 80012-2828 | 2018-09-12 |
| 1891125217 | Aim Diagnostics LLC | Clinic/Center | 3960 Ivywood Ln, Pueblo, CO 81005-2567 | 2013-11-21 |
| 1518265206 | Aid Health | Clinic/Center | 730 Eudora St, Denver, CO 80220-5116 | 2011-03-04 |
| 1750344537 | Rcoa Imaging Services, Inc | Clinic/Center | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2006-04-11 |
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
Please comment or provide details below to improve the information on ROCKY MOUNTAIN EEG LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.