OUTPATIENT RADIOLOGY LLC; NPI #1396704474

Contact Information

OUTPATIENT RADIOLOGY LLC

419 SOUTH WASHINGTON STREET
SUITE 101
CASPER, WY 82601

Phone: 307-234-6963
Fax: 307-237-1074
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for OUTPATIENT RADIOLOGY LLC

NPI Number 1396704474

LBN Legal business name OUTPATIENT RADIOLOGY LLC

Authorized official JEFFREY RHEA - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/20/2006

Last updated 06/17/2024 - More than a year ago

Identifiers

NE	Medicaid	10025260001
WY	Medicaid	116358200

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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OUTPATIENT RADIOLOGY LLC

Contact Information

Specialty

Diagnostic Radiology

NPI Profile & details for OUTPATIENT RADIOLOGY LLC

Reviews for OUTPATIENT RADIOLOGY LLC