Deaconess Intercity Imaging LLC
Clinic/Center in Bozeman, MT. Organization (NPI-2).
NPI number1497704860
StatusActive
Last updated in NPPESAug 12, 2024
Details
- NPI
- 1497704860
- Entity type
- Organization (NPI-2)
- Legal business name
- Deaconess Intercity Imaging LLC
- Organization subpart
- No
- Enumeration date
- May 10, 2006
- Certification date
- Aug 12, 2024
- Last updated
- Aug 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 261QR0200X | Clinic/Center, Radiology | 7873 | MT |
Other names
- Advanced Medical Imaging (Doing Business As)
Practice location
905 Highland BlvdSuite 4100
Bozeman, MT 59715-6902
Phone 406-556-5200 · Fax 406-556-5205
Mailing address
1648 Ellis St Ste 201Bozeman, MT 59715-8811
Phone 406-587-8631 · Fax 406-587-1343
Other practice locations
875 S Cottonwood Rd Ste 150
Bozeman, MT 59718-4224
Bozeman, MT 59718-4224
Phone 406-414-3800
Authorized official
Brandee Deslauriers
Business Manager
4065878631
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