BOZEMAN MEDICAL IMAGING, LLC (NPI# 1417993221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417993221 |
| Entity Type | Organization |
| Organization Name | BOZEMAN MEDICAL IMAGING, LLC |
| Other Organization Name | BOZEMAN MRI |
| Practice Address |
2150 Analysis Dr Advanced Technology Park Bozeman MT 59718-6814 |
| Practice Telephone | 4065820005 |
| Practice Fax Number | 4065820830 |
| Mailing Telephone | 4065820005 |
| Mailing Fax Number | 4065820830 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TIMOTHY L NAGEL (DIRECTOR/MANAGING PARTNER) |
| Authorized Official Telephone | 4065820005 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
06-00002458 | MT | Technologists, Technicians & Other Technical Service Providers |
| X | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
06-00002458 | MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0760053 | 05 |
| Other Name | Type Code |
|---|---|
| Bozeman MRI | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518908938 | Bozeman Medical Imaging, LLC | Radiologic Technologist | 1099 N 27th St, Billings, MT 59101-0711 | 2006-06-09 |
| Street Address |
2150 ANALYSIS DR ADVANCED TECHNOLOGY PARK |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59718-6814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
| 1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
| 1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
| 1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
| 1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
| 1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
| 1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
| 1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
| Find all providers in zip 59718 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003906413 | Mri Center LLC | Radiologic Technologist | 3510 Ptarmigan Ln, Helena, MT 59602-0553 | 2006-10-14 |
| 1518908938 | Bozeman Medical Imaging, LLC | Radiologic Technologist | 1099 N 27th St, Billings, MT 59101-0711 | 2006-06-09 |
| 1720167760 | Great Falls Orthopedic Associates | Radiologic Technologist | 500 15th Ave S, Suite 1, Great Falls, MT 59405-4324 | 2006-11-02 |
Please comment or provide details below to improve the information on BOZEMAN MEDICAL IMAGING, LLC.
| 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.