Organization Active NPI

Rocky Mountain Mobile Imaging, LLC

  • Nuclear Medicine Technology Radiologic Technologist
  • Powell, WY
National Provider Identifier
1316419088
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X
Legal business name
ROCKY MOUNTAIN MOBILE IMAGING, LLC
Practice address
887 E North St
Powell, WY 82435-3045
Phone
(208) 220-1043
Fax
(307) 278-7322
NPI assigned
Dec 19, 2018
Last updated
Dec 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shemai Joy Aagard
Title
Manager
Phone
(208) 220-1043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Technology Radiologic Technologist 2471N0900X Primary

Addresses

Primary practice location

887 E North St
Powell, WY 82435-3045

Mailing address

PO Box 323
McCammon, ID 83250-0323
Phone (208) 220-1043

Other identifiers 1

IdentifierTypeStateIssuer
11-35483-01OtherNRC

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1316419088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 323",
            "city": "MCCAMMON",
            "state": "ID",
            "postal_code": "832500323",
            "telephone_number": "208-220-1043",
            "fax_number": "307-278-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 E NORTH ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824353045",
            "telephone_number": "208-220-1043",
            "fax_number": "307-278-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN MOBILE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "AAGARD",
        "authorized_official_first_name": "SHEMAI",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-220-1043"
    },
    "taxonomies": [
        {
            "code": "2471N0900X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NRC",
            "identifier": "11-35483-01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.