INTEGRA IMAGING PS - MT NPI 1053868992

NPI Information

  • NPI: 1053868992
  • Provider Name: INTEGRA IMAGING PS - MT
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 2419 MULLAN RD
    D
    MISSOULA, MT
    ZIP 59808
  • Phone: (509) 747-4455

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NPI Details

INTEGRA IMAGING PS - MT is a diagnostic radiology radiology in Missoula, MT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. INTEGRA IMAGING PS - MT NPI is 1053868992. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2419 MULLAN RD
D
MISSOULA, MT
ZIP 59808-856
Phone: (509) 747-4455

The provider's authorized official is Sarah Russell .
The authorized official title is Coo and has the following contact phone number (509) 747-4455.

The enumeration date for this NPI number is 9/8/2016 and was last updated on 9/8/2016.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyMONTANAYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERWASHINGTONTAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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