National Provider Identifier Database

ELEVATION MEDICAL IMAGING EVANSTON
Radiology


Contact Information

ELEVATION MEDICAL IMAGING EVANSTON
1485 STATE HIGHWAY 150 S
EVANSTON, WY82930-5344
Phone: 307-444-4215
Fax: 307-444-4219
Website:
Specialty Taxonomy Code
* Radiology 261QR0200X
Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for ELEVATION MEDICAL IMAGING EVANSTON

NPI Number 1184242521
Legal business name
LBN
ELEVATION MEDICAL IMAGING EVANSTON
Authorized official SHAUN ANDRIKOPOULOS - (DIRECTOR OFFICER)
Entity Organization
Organization subpart No
Enumeration date 07/13/2020
Last updated 09/16/2021 - About 5 years 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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