Provider Demographics
NPI:1124076286
Name:FLATIRONS IMAGING. LLC
Entity type:Organization
Organization Name:FLATIRONS IMAGING. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:GAYLA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCRIVENER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-823-3081
Mailing Address - Street 1:6822 22ND AVE N
Mailing Address - Street 2:PMB 430
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-3918
Mailing Address - Country:US
Mailing Address - Phone:877-823-3081
Mailing Address - Fax:877-252-1857
Practice Address - Street 1:363 CENTENNIAL PKWY
Practice Address - Street 2:SUITE 120
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1281
Practice Address - Country:US
Practice Address - Phone:720-974-1099
Practice Address - Fax:720-974-0492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO553578Medicare ID - Type Unspecified