Provider Demographics
NPI:1891125217
Name:AIM DIAGNOSTICS LLC
Entity type:Organization
Organization Name:AIM DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:AVILA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:719-246-7766
Mailing Address - Street 1:1208 EAGLERIDGE BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81008-2329
Mailing Address - Country:US
Mailing Address - Phone:719-246-7766
Mailing Address - Fax:
Practice Address - Street 1:1208 EAGLERIDGE BLVD STE C
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-2329
Practice Address - Country:US
Practice Address - Phone:719-246-7766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-21
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
No293D00000XLaboratoriesPhysiological Laboratory