BLACK ROCK ADVANCED MEDICAL IMAGING; NPI #1649556838

Contact Information

BLACK ROCK ADVANCED MEDICAL IMAGING

620 4J CT
UNIT C
GILLETTE, WY 82716-4130

Phone: 307-682-8228
Fax: 307-682-8266
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Physiological Laboratory, (Independent Physiological Lab)	293D00000X	47	Independent Diagnostic Testing Facility (IDTF)

Indicates primary specialty

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NPI Profile & details for BLACK ROCK ADVANCED MEDICAL IMAGING

NPI Number	`1649556838`
LBN Legal business name	BLACK ROCK ADVANCED MEDICAL IMAGING
Authorized official	MARK MURPHY - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/01/2011
Last updated	08/08/2024 - More than a year ago
Identifiers	n/a

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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BLACK ROCK ADVANCED MEDICAL IMAGING

Contact Information

Specialty

Diagnostic Radiology

Physiological Laboratory, (Independent Physiological Lab)

NPI Profile & details for BLACK ROCK ADVANCED MEDICAL IMAGING

Reviews for BLACK ROCK ADVANCED MEDICAL IMAGING