FRONT RANGE RADIOLOGY PROF, LLC


Address: 1101 E Elizabeth St, Fort Collins, CO 80524-4022
Phone: 9704829414

FRONT RANGE RADIOLOGY PROF, LLC (NPI# 1528118205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528118205
Entity Type Organization
Organization Name FRONT RANGE RADIOLOGY PROF, LLC
Practice Address 1101 E Elizabeth St
Fort Collins
CO 80524-4022
Practice Telephone 9704829414
Mailing Telephone 9704829414
Enumeration Date 2007-01-12
Last Update Date 2008-12-19
Authorized Official Name JOHN C CRONIN (OWNER)
Authorized Official Telephone 9704829414
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Office Location

Street Address 1101 E ELIZABETH ST
City FORT COLLINS
State CO
Zip Code 80524-4022

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164750444 Veronica Kerbs Radiologic Technologist 1101 E Elizabeth St, Fort Collins, CO 80524-4022 2009-11-25
1093043630 Rebecca Larson Radiologic Technologist 1101 E Elizabeth St, Fort Collins, CO 80524-4022 2009-11-19
1942538582 Tate Neil Borleske Radiologic Technologist 1101 E Elizabeth St, Fort Collins, CO 80524-4022 2009-11-19

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1831617828 Rachel Elizabeth Brenner Counselor 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 2017-08-30
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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1457375545 Provision Imaging of Ft Collins Clinic/Center 4114 Timberline Rd, Fort Collins, CO 80525-6034 2006-07-26
1023065844 Poudre Valley Open Mri, LLC Clinic/Center 2420 E Prospect Rd, Fort Collins, CO 80525-9729 2006-05-27
1679526800 E Plus Pet Imaging Xviii Lp Clinic/Center 1915 Wilmington Dr, Suite 101, Fort Collins, CO 80528-3008 2006-05-18

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NPI Name Taxonomy Address Enumeration
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1457967838 Yampa Valley Medical Center Clinic/Center 1100 Central Park Dr Ste 1100, Steamboat Springs, CO 80487-8818 2020-09-21
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Competitor

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City FORT COLLINS
Zip Code 80524

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Dataset Information

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.

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