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

Samuel Song

Individual provider Diagnostic Radiology Physician · NPI 1225150014

Samuel Song is a Diagnostic Radiology in Glenwood Springs, Colorado. Graduated from Loma Linda University School of Medicine in 2006, 20 years ago. Practices with Sonoran Radiology Ltd, a 465-clinician group and works from 2 locations. Licensed in Illinois, Michigan and Missouri.

Years since qualifying
20
Trained at
Loma Linda University School of Medicine
Licensed in
IL, MI, MO
In the registry since
2007
Specialties on file
3

Practice location Address checks out

1906 Blake Ave
Glenwood Springs, CO 81601-4227
Phone: (970) 447-4065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 The City Dr S, Orange, CA 92868-3201 — (714) 456-6595

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301506090 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036159456 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2022012726 (MO)

Record details

NPI number1225150014
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 4, 2007
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Sonoran Radiology Ltd — 465 clinicians
Accepts Medicare assignment Not indicated
Practice locations23 on file with Medicare

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