ENDOVASCULAR CONSULTANTS OF COLORADO PC NPI 1730849811

NPI Information

NPI: 1730849811
Provider Name: ENDOVASCULAR CONSULTANTS OF COLORADO PC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

CLIA Number: 06D2242850

Address:
291 15TH ST
BURLINGTON, CO
ZIP 80807
Phone: (720) 668-8818
Get Directions

ENDOVASCULAR CONSULTANTS OF COLORADO PC is a vascular and interventional radiology radiology in Burlington, CO. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. ENDOVASCULAR CONSULTANTS OF COLORADO PC NPI is 1730849811. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

291 15TH ST
BURLINGTON, CO
ZIP 80807-619
Phone: (720) 668-8818
Fax: (720) 710-9492

The provider's authorized official is Aaron C Kovaleski .
The authorized official title is President and has the following contact phone number (501) 425-8489.

The CLIA number assigned to this NPI record is 06D2242850 - other - office based lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2021 and was last updated on 12/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0204X	Radiology	Vascular & Interventional Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DR.0059870	OTHER	COLORADO	COLORADO MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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