Organization
YELLOWSTONE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA CARLSON (BUSINESS MANAGER)
(307) 578-1975
Entity
Organization
Contact information
Practice address
720 LINDSAY LN, CODY, WY 82414-4103
(307) 578-1898
(307) 578-1894
Mailing address
720 LINDSAY LN, CODY, WY 82414-4103
(307) 578-1898
(307) 578-1894
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312273
BCBS - WYOMING
WI
Enumeration date
11/28/2006
Last updated
08/22/2020
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