Organization
YELLOWSTONE ULTRASOUND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BYRD RT (OWNER)
(307) 272-4146
Entity
Organization
Contact information
Practice address
1021 9TH ST, CODY, WY 82414-3433
(208) 667-9334
(208) 664-2341
Mailing address
PO BOX 1358, CODY, WY 82414-1358
(208) 667-9334
(208) 664-2341
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
GN 0769-11
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0760201
—
MT
01
—
P00296788
RR MEDICARE
WY
Enumeration date
03/10/2006
Last updated
03/28/2008
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