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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOURCE 1

Active Organization

SOURCE 1 is a Customized Equipment (DME) organization located in LOUISVILLE, Colorado. NPI 1578896502 is currently active in the NPPES registry. Verify at CMS.

Customized Equipment (DME) · LOUISVILLE, CO

Registration Details

NPI Number
1578896502
Provider Type
Organization
NPI Issued
Sep 9, 2009 (16.95695098054 yrs)
Last Updated
Sep 15, 2009
License
4274647 (CO)

Practice Information

Address
80 HEALTH PARK DR STE 250
LOUISVILLE, CO, 800274645
Browse CO providers · Browse ZIP 80027
Phone
3036659773
Fax
3036659774
Primary Specialty
Customized Equipment (DME)
332BC3200X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.