Cloud Peak Medical, LLC

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

Legal business name

CLOUD PEAK MEDICAL, LLC

Practice address

1050 Mydland Rd
Sheridan, WY 82801-2186

Phone

(307) 673-1813

Fax

(307) 674-4619

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Greg Lagorio

Title

Director of Operations

Phone

(307) 673-1813

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417909045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MYDLAND RD",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012186",
            "telephone_number": "307-673-1813",
            "fax_number": "307-674-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MYDLAND RD",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012186",
            "telephone_number": "307-673-1813",
            "fax_number": "307-674-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOUD PEAK MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAGORIO",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "307-673-1813",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Clearwater
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• Clella C Collier, OTR/L
• Taler Collier, PHARMD

• All providers in Sheridan, WY
• Magnetic Resonance Imaging Radiologic Technologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.