# TETON MRI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MRI of Jackson Hole
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154490233
- **Authorized official:** JOHN J KREN (CONTROLLER)
- **Authorized official phone:** (307) 739-7526

## Contact information

- **Practice address:** 625 E BROADWAY, JACKSON, WY 83001
- **Practice address phone:** (307) 739-7234
- **Practice address fax:** (307) 739-7449
- **Mailing address:** PO BOX 4606, JACKSON, WY 83001
- **Mailing address phone:** (307) 739-7234
- **Mailing address fax:** (307) 739-7449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 08/22/2020