{"npi":"1316929284","type":"NPI-2","status":"active","name":{"display":"Western Colorado Radiologic Associates, PC","other":[],"organization_name":"WESTERN COLORADO RADIOLOGIC ASSOCIATES, PC","authorised_official":"Sharlee Lebleu"},"specialty":{"primary_taxonomy":"2085D0003X","primary_taxonomy_description":"Diagnostic Neuroimaging (Radiology) Physician","slug":"diagnostic-neuroimaging-radiology-physician","schema_org_specialty":null,"all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":false,"state":null,"license":null},{"code":"2085D0003X","description":"Diagnostic Neuroimaging (Radiology) Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2635 N 7TH ST","city":"GRAND JUNCTION","state":"CO","postal_code":"815018209","country_code":"US","phone":"9702419729"},{"purpose":"MAILING","street_1":"2530 N 8TH ST","city":"GRAND JUNCTION","state":"CO","postal_code":"815018857","country_code":"US","street_2":"101"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"04718045","state":"CO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040313000784","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CO","pac_id":"7315836608"}]},"enumeration_date":"2005-11-16","last_updated":"2024-07-12","_meta":{"source":"NPPES","snapshot_date":"2024-07-12","doc_url":"https://findmynpi.com/api"}}