ADVANCED IMAGING AT COMMUNITY MEDICAL CENTER LLC NPI 1164437943

NPI Information

ADVANCED IMAGING AT COMMUNITY MEDICAL CENTER, LLC is a radiology clinic center in Missoula, MT. ADVANCED IMAGING AT COMMUNITY MEDICAL CENTER, LLC NPI is 1164437943. The provider is registered as an organization entity type.

The provider's business location address is:

2803 SOUTH AVE W
MISSOULA, MT
ZIP 59804-103
Phone: (406) 327-3950
Fax: (406) 327-3955

The provider's authorized official is Catherine C Palmer .
The authorized official title is Manager and has the following contact phone number (406) 327-3950.

The CLIA number assigned to this NPI record is 27D2061777 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 5/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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