Tridentcare

LBN: Symphony Diagnostic Services No 1 Llc
Tridentcare is an health care organization with primary practice located at 11585 E 53Rd Ave Ste H , Denver CO 80239-2321. The organization recently has only one registered license in Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, which is considered as the primary health care specialty. Symphony Diagnostic Services No 1 Llc can be contacted via phone (303) 307-2028, or through Cuomo, Brian C via phone (800) 786-8015.

Contact Information

Primary practice address
11585 E 53Rd Ave Ste H Denver CO 80239-2321
Phone: (303) 307-2028
Fax: (303) 576-7986
Website:
Map and Directions
Authorized official contact:
Name: Cuomo, Brian C
Phone: (800) 786-8015

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Profile Details

NPI number 1013217769
LBN Legal business name Symphony Diagnostic Services No 1 Llc
DBA Doing business as Tridentcare
Authorized official Cuomo, Brian C
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2010
Last updated Jan 30th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013217769 NPPES
Idaho MEDICAID 1013217769
Idaho MEDICAID 095566
Idaho MEDICAID 2374656
Idaho Other 630001673
Idaho MEDICAID 9000189649

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