Provider Demographics
NPI:1578364006
Name:HEALTHPORT INC
Entity type:Organization
Organization Name:HEALTHPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NWACHIOMA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-825-9033
Mailing Address - Street 1:13907 E OXFORD PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-4120
Mailing Address - Country:US
Mailing Address - Phone:301-825-9033
Mailing Address - Fax:
Practice Address - Street 1:2851 S PARKER RD STE 1-0340
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2736
Practice Address - Country:US
Practice Address - Phone:720-592-0847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
No174200000XOther Service ProvidersMeals
No335G00000XSuppliersMedical Foods Supplier
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle