Organization
FAIRLIGHT MEDICAL CENTER
Active
Parent organization
WILLISTON RADIOLOGY CONSULTANTS
Other names
Williston Radiology Consultants
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLISTON RADIOLOGY CONSULTANTS
Authorized official
MS. NANCY MARIE REIGER (BILLING/INSURANCE CLERK)
(701) 577-6337
Entity
Organization
Contact information
Practice address
3 4TH ST E, SUITE 101, WILLISTON, ND 58801-5350
(701) 577-6337
(701) 577-4867
Mailing address
3 4TH ST E, SUITE 101, WILLISTON, ND 58801-5350
(701) 577-6337
(701) 577-4867
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
6414
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010182
—
ND
05
—
0406731
—
MT
01
—
109956169
DUNS
—
01
—
2699617243
TPIN
—
01
—
621-11
NAICS
—
Enumeration date
10/30/2008
Last updated
10/30/2008
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