Organization
MRI CENTER LLC
Active
Other names
Montana Regional Imaging Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JACK H AVERY RT R MRI QM CT (DIRECTOR OWNER)
(406) 449-3750
Entity
Organization
Contact information
Practice address
3510 PTARMIGAN LN, HELENA, MT 59602-0553
(406) 449-3750
Mailing address
3510 PTARMIGAN LN, HELENA, MT 59602-0553
(406) 449-3750
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
1019
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0760123
—
MT
Enumeration date
10/14/2006
Last updated
08/22/2020
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