PUEBLO RADIOLOGICAL GROUP, P.C.
NPI 1396346185
Clinic/Center - Radiology in Pueblo, CO

Active since November 06, 2020
4112 OUTLOOK BLVD STE 255, PUEBLO, CO 81008(719) 584-7410(719) 542-7019 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 25, 2021, Nov 6, 2020 (2 updates tracked since 2020).

  • Organization
  • Clinic/Center
  • Radiology

About PUEBLO RADIOLOGICAL GROUP, P.C.

This page provides the complete NPI Profile along with additional information for Pueblo Radiological Group, P.c., a provider established in Pueblo, Colorado operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1396346185 assigned on November 2020. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Robin L Boyer (Auth Rep/director Of Operations)

NPI
1396346185 Verify this NPI
Provider Name
PUEBLO RADIOLOGICAL GROUP, P.C.
Entity Type
Organization
Location Address
4112 OUTLOOK BLVD STE 255 PUEBLO, CO 81008
Location Phone
(719) 584-7410
Location Fax
(719) 542-7019
Mailing Address
PO BOX 7693 LOVELAND, CO 80537
Mailing Phone
(970) 663-2742
Mailing Fax
(970) 342-2093
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2020
Last Update Date
01-25-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Radiology

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBIN L BOYER

Authorized Official Title
AUTH REP/DIRECTOR OF OPERATIONS
Authorized Official Phone
(970) 663-2742

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
4112 OUTLOOK BLVD STE 255
PUEBLO, CO 81008

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396346185, enumerated as an "organization" on November 06, 2020.

The provider is located at 4112 OUTLOOK BLVD STE 255 PUEBLO, CO 81008 and the phone number is (719) 584-7410.

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.