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Active NPI 1104094119 Organization (Entity Type 2)

Aspen Diagnostics & Decompression

Specialist • Basalt, CO

About Aspen Diagnostics & Decompression NPI 1104094119 Summary

Aspen Diagnostics & Decompression is a verified healthcare organization specializing in Specialist operating in Basalt, CO. Located at 24505 HIGHWAY 82, this facility provides patient care and medical services under National Provider Identifier (NPI) 1104094119.

Administrative operations and authorized compliance are overseen by David Jensen (Owner).

Facility Location & Contact Primary Location

Facility Address

24505 Highway 82

Basalt, CO 816219204

Telephone 9703844450
Fax 9709479916

Authorized Official Information

Authorized Contact Name

DR. David Jensen , D.C.

Title / Role

Owner

Official Telephone

9703844450

Facility Classifications & Specialties

Specialist Primary Taxonomy

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active February 12, 2008

NPI status registered as active in NPPES database

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Updated Practice Location February 12, 2008

Registered at 24505 HIGHWAY 82, BASALT, CO 816219204 (Tel: 9703844450)

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Updated Business Mailing Address February 12, 2008

Registered at 1517 BLAKE AVE, SUITE 203, GLENWOOD SPRINGS, CO 816013643 (Tel: 9703844450)

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Organization / Clinic Name Updated February 12, 2008

Operating as ASPEN DIAGNOSTICS & DECOMPRESSION

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2008

Specialist

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Initial NPI Registration & Enumeration February 12, 2008

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1104094119
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: February 12, 2008
Last Update: February 12, 2008

Mailing Address

1517 Blake Ave, Suite 203

Glenwood Springs, CO 816013643

Phone: 9703844450

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.