Organization
CHEYENNE MRI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HAID (ADMINISTRATOR)
(307) 634-7711
Entity
Organization
Contact information
Practice address
2003 BLUEGRASS CIR, CHEYENNE, WY 82009-7329
(307) 634-7711
(307) 634-4167
Mailing address
2003 BLUEGRASS CIR, CHEYENNE, WY 82009-7329
(307) 634-7711
(307) 634-4167
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106217401
—
WY
05
—
94005212
—
CO
Enumeration date
06/06/2006
Last updated
06/02/2020
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