WESTERN MEDICAL ASSOCIATES L.L.C. DIAGNOSTICS AND IMAGING NPI 1235274523

NPI Information

WESTERN MEDICAL ASSOCIATES, L.L.C. DIAGNOSTICS AND IMAGING is a radiologic technologist in Casper, WY. The provider is an individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. WESTERN MEDICAL ASSOCIATES, L.L.C. DIAGNOSTICS AND IMAGING NPI is 1235274523. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6500 E 2ND ST
SUITE 100
CASPER, WY
ZIP 82609-321
Phone: (307) 577-5100
Fax: (307) 233-0610

The provider's authorized official is Tim Frary .
The authorized official title is Managing Partner and has the following contact phone number (307) 577-5100.

The CLIA number assigned to this NPI record is 53D0931018 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/21/2007 and was last updated on 8/11/2020.

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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