ELEVATION MEDICAL IMAGING EVANSTON LLC


Address: 1535 South Hwy 150, Evantson, WY 82931
Phone: 3076901523

ELEVATION MEDICAL IMAGING EVANSTON LLC (NPI# 1184242521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184242521
Entity Type Organization
Organization Name ELEVATION MEDICAL IMAGING EVANSTON LLC
Practice Address 1535 South Hwy 150
Evantson
WY 82931
Mailing Address Po Box 2393
Idaho Falls
ID 83403-2393
Practice Telephone 3076901523
Mailing Telephone 8003385378
Mailing Fax Number 2085238978
Enumeration Date 2020-07-13
Last Update Date 2020-09-25
Authorized Official Name SHAUN ANDRIKOPOULOS (DIRECTOR OFFICER)
Authorized Official Telephone 3076901523
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
Ambulatory Health Care Facilities

Office Location

Street Address 1535 SOUTH HWY 150
City EVANTSON
State WY
Zip Code 82931

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083941389 Todd Bader Counselor 724 Front St, Suite 511, Evanston, WY 82931 2009-11-06
1669564712 Roger Nelson Scarborough Counselor 831 Highway 150 South, Evanston, WY 82931 2006-09-28
1598868689 Mary Elizabeth Coffeen-carley Nurse Practitioner 831 St. Highway, 150 South, Wyoming State Hospital, Evanston, WY 82931 2006-09-06
1114387677 Patricia Ann Roberts Social Worker 831 S Hwy 150, Evanston, WY 82931-0177 2016-02-26
1548389091 Donald Roger Rardin Psychologist Highway 150 South, Evanston, WY 82931-0177 2007-03-28
1265479075 Uinta Senior Citizens Home Health 1229 Uinta St, Evanston, WY 82931-0728 2006-06-01
1457358376 Tender Heart Home Care Hospice Case Management 624 Twin Ridge, Evanston, WY 82931-2130 2005-07-07
1174805402 High Country Behavioral Health Clinic/Center 190 Overthrust Rd., Evanston, WY 82931-2910 2011-09-13

Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568721553 Phi Health, LLC Clinic/Center 2405 E Grand Ave, Suite D, Box 136, Laramie, WY 82070-5206 2012-05-10
1124207345 Fremont Radiology PC Clinic/Center 2102 W Sunset Dr, Riverton, WY 82501 2007-10-25
1366936270 Casper Orthopedic Associates PC Clinic/Center 4140 Centennial Hills Blvd Ste A, Casper, WY 82609-3265 2018-06-15
1205165727 Bone & Joint Radiology, LLC Clinic/Center 508 Stocktrail Ave, Suite A, Gillette, WY 82716-3582 2009-12-11
1154490233 Teton Mri Clinic/Center 625 E Broadway, Jackson, WY 83001 2006-11-06
1477641272 Wyoming Imaging Center Clinic/Center 231 S Washington St, Casper, WY 82601-2948 2006-10-10

Competitor

Search similar providers

City EVANTSON
Zip Code 82931

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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