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Black Rock Advanced Medical Imaging
Physiological Laboratory in Gillette, Wyoming
NPI 1649556838

Black Rock Advanced Medical Imaging is a Physiological Laboratory based in Gillette, WY. Black Rock Advanced Medical Imaging practices in Gillette, WY. The NPI Number for Black Rock Advanced Medical Imaging is 1649556838 and holds a License No. (Wyoming).

The current practice location address for Black Rock Advanced Medical Imaging is 620 4J Ct, Gillette, WY and can be reached out via phone at 307-682-8228 and via fax at 307-682-8266.

Location: 620 4J Ct, Gillette, WY, 82716-4130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649556838
Provider Name
Black Rock Advanced Medical Imaging
Credential
Provider Entity Type
Organization
Address
620 4J Ct, Gillette, WY, 82716-4130
Phone Number
307-682-8228
Fax Number
307-682-8266
Provider Enumeration Date
11/01/2011
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
620 4J Ct
City
Gillette
State
Wyoming
Zip
82716-4130
Phone Number
307-682-8228
Fax Number
307-682-8266
person
Provider Business Mailing Address Details
Address
620 4J Ct
City
Gillette
State
Wyoming
Zip
82716-4130
Phone Number
307-682-8228
Fax Number
307-682-8266
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Laboratories
Classification
Physiological Laboratory
Speciality
-
Taxonomy
293D00000X
License No.
()
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
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