Organization
ROCKY MOUNTAIN MOBILE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEMAI JOY AAGARD (MANAGER)
(208) 220-1043
Entity
Organization
Contact information
Practice address
887 E NORTH ST, POWELL, WY 82435-3045
(208) 220-1043
(307) 278-7322
Mailing address
PO BOX 323, MCCAMMON, ID 83250-0323
(208) 220-1043
(307) 278-7322
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-35483-01
NRC
—
Enumeration date
12/19/2018
Last updated
12/19/2018
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