National Provider Identifier Database

BLACK ROCK ADVANCED MEDICAL IMAGING
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

BLACK ROCK ADVANCED MEDICAL IMAGING
620 4J CT
UNIT C
GILLETTE, WY82716-4130
Phone: 307-682-8228
Fax: 307-682-8266
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for BLACK ROCK ADVANCED MEDICAL IMAGING

NPI Number 1649556838
Legal business name
LBN
BLACK ROCK ADVANCED MEDICAL IMAGING
Authorized official MARK MURPHY - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/01/2011
Last updated 08/08/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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