Organization Active NPI

Medical Imaging Connections

  • Mobile Radiology Clinic/Center
  • Roundup, MT
National Provider Identifier
1417028648
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
MEDICAL IMAGING CONNECTIONS
Practice address
1220 2ND St W
Roundup, MT 59072-1836
Phone
(406) 323-7226
Fax
(206) 339-7486
NPI assigned
Nov 10, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ken G Kellum
Title
President
Phone
(406) 323-7226

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU
Mobile Radiology Clinic/Center 261QR0208X NU Primary

Addresses

Primary practice location

1220 2ND St W
Roundup, MT 59072-1836

Mailing address

1220 2ND St W
P.O. Box 931
Roundup, MT 59072-1836
Phone (406) 323-7226

Other identifiers 2

IdentifierTypeStateIssuer
760104MedicaidMT
094605OtherMTBCBS OF MONTANA

National Provider Directory

National Provider Directory

Locations

1220 2nd St W
Roundup, MT 59072
Phone (406) 323-7226

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1417028648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 2ND ST W",
            "address_2": "P.O. BOX 931",
            "city": "ROUNDUP",
            "state": "MT",
            "postal_code": "590721836",
            "telephone_number": "406-323-7226",
            "fax_number": "206-339-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 2ND ST W",
            "city": "ROUNDUP",
            "state": "MT",
            "postal_code": "590721836",
            "telephone_number": "406-323-7226",
            "fax_number": "206-339-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING CONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KELLUM",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-323-7226"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760104",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MONTANA",
            "identifier": "094605",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roundup, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.