Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinical Radiologists, SC

Organization Diagnostic Radiology Physician · NPI 1992114714

Clinical Radiologists, SC is a Diagnostic Radiology Physician in Boulder, Colorado. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014

Practice location Address checks out

295 Fox Dr
Boulder, CO 80303-3529
Phone: (952) 595-5296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 042000749 (IL)

Record details

NPI number1992114714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Dickerson — Chief Executive Officer · (217) 222-9302
NPI enumeratedAugust 6, 2014
Last updated in NPPESAugust 6, 2014
Mailing address3050 Montvale Dr, Springfield, IL 62704-4290

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