| Organization Name: | LIGHTHOUSE DIAGNOSTIC IMAGING LLC |
| NPI Number: | 1003902677 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHEILA B RACZ (OFFICE MANAGER) |
| Mailing Address: | 8683 E Lincoln Avenue Suite 100 Lone Tree |
| State: | CO US |
| Postal Code: | 80124 |
| Phone Number: | 3037061555 |
| Fax Number: | 3037061199 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471B0102X |
| License Number: | 95802 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CO |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Bone Densitometry |
| Taxonomy Definition: | |