TETON SPORTS & SPINE IMAGING LLC NPI 1427574987

NPI Information

NPI: 1427574987
Provider Name: TETON SPORTS & SPINE IMAGING, LLC
Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
250 SCOTT LN STE 110
JACKSON, WY
ZIP 83001
Phone: (307) 201-5380
Get Directions

TETON SPORTS & SPINE IMAGING, LLC is a magnetic resonance imaging (mri) clinic center in Jackson, WY. TETON SPORTS & SPINE IMAGING, LLC NPI is 1427574987. The provider is registered as an organization entity type.

The provider's business location address is:

250 SCOTT LN STE 110
JACKSON, WY
ZIP 83001-060
Phone: (307) 201-5380
Fax: (307) 201-5202

The provider's authorized official is Shaun Andrikopoulos .
The authorized official title is Manager/partner and has the following contact phone number (307) 201-5380.

The enumeration date for this NPI number is 8/16/2017 and was last updated on 5/23/2022.

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
1	261QR0200X	Clinic/Center	Radiology			No
2	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)			Yes

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	1427574987	MEDICAID	WYOMING

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: 4/28/2024

NPI Synchronization or Removal

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