# GREATER YELLOWSTONE IMAGING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801051487
- **Authorized official:** MICHAEL MENOLASCINO MD (MEMBER)
- **Authorized official phone:** (307) 733-2855

## Contact information

- **Practice address:** 5235 HHR RANCH ROAD, WILSON, WY 83014
- **Practice address phone:** (307) 733-2855
- **Mailing address:** PO BOX 1592, WILSON, WY 83014-1592
- **Mailing address phone:** (307) 733-2855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/23/2008
- **Last updated:** 07/23/2008