Provider Demographics
NPI:1043031461
Name:IMAGING ZEN LLC
Entity type:Organization
Organization Name:IMAGING ZEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & ULTRASONOGRAPHER
Authorized Official - Prefix:
Authorized Official - First Name:SANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS, RVT
Authorized Official - Phone:720-741-7255
Mailing Address - Street 1:11212 ENDEAVOR DR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3830
Mailing Address - Country:US
Mailing Address - Phone:720-741-7255
Mailing Address - Fax:720-986-7998
Practice Address - Street 1:19751 E MAINSTREET STE R10
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7406
Practice Address - Country:US
Practice Address - Phone:720-741-7255
Practice Address - Fax:720-986-7998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-18
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty