PUEBLO IMAGING CENTER, LLC
NPI 1497713960
Specialist in Pueblo, CO

Active since May 03, 2006
404 W 12TH ST, PUEBLO, CO 81003(719) 542-0172(719) 542-5072 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pueblo Imaging Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUEBLO IMAGING CENTER, LLC (NPI 1497713960) is a healthcare organization registered as a specialist in Pueblo, Colorado and active in the NPI registry since May 2006. The organization lists Larae Ann Miller, Center Manager, as its authorized official.

NPPES Registry Identity

NPI1497713960
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePUEBLO IMAGING CENTER, LLC
Location Address404 W 12TH STPueblo, CO 81003-2815
Mailing Address404 W 12th StPueblo, CO 81003-2815 · (719) 542-0172 · Fax (719) 542-5072
Fax(719) 542-5072
Organization SubpartNo
Authorized OfficialLarae Ann MillerCenter Manager · (719) 542-0172
Enumeration DateMay 3, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1497713960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CO · 5047
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

404 W 12TH ST, Pueblo, CO 81003

Other Identifiers 1

Medicaid31789013CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
404 W 12TH ST
PUEBLO, CO 81003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497713960, enumerated as an "organization" on May 03, 2006.

The provider is located at 404 W 12TH ST PUEBLO, CO 81003 and the phone number is (719) 542-0172.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.