Active NPI
Rocky Mountain Mobile Imaging, LLC
- Nuclear Medicine Technology Radiologic Technologist
- Powell, WY
National Provider Identifier
1316419088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Technology Radiologic Technologist
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11-35483-01 | Other | NRC |
National Provider Directory
National Provider DirectoryNPI 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.