OrganizationActive
Specialized Imaging
NPI 1245774587 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Pagosa Springs, CO
Provider details
- NPI number
- 1245774587
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Organization subpart
- No
- Authorized official
- James Davis, President(562) 706-1034
- License
- 117741 (CA)
Specialties & taxonomies
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierPrimary335V00000XLicense 117741 (CA)
Suppliers
Practice location
117 Navajo, Unit 3
Pagosa Springs, CO 81147
Phone: (562) 706-1034
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5685
Pagosa Springs, CO 81147-5685
Registry dates
- Enumerated
- 2016-12-06
- Last updated
- 2016-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.