Provider Demographics
NPI:1073645040
Name:COLORADO SONOGRAPHICS INC
Entity type:Organization
Organization Name:COLORADO SONOGRAPHICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:NAVARRETE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-649-6940
Mailing Address - Street 1:18005 SW 1ST ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-3922
Mailing Address - Country:US
Mailing Address - Phone:954-443-0473
Mailing Address - Fax:954-704-0379
Practice Address - Street 1:549 WILD RIDGE LN
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-2568
Practice Address - Country:US
Practice Address - Phone:954-443-0473
Practice Address - Fax:954-704-0379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile