Valley Xray LLC

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

GN025022 Issued in WY

Legal business name

VALLEY XRAY LLC

Practice address

124 Petersen Parkway
124 Petersen Parkway Suite 2
Thayne, WY 83127

Phone

(307) 883-9729

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Donald Henry Guear, RT

Title

Radiology Tech

Phone

(307) 883-9729

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710097647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 135 FAIRVIEW WYOMING 83119",
            "address_2": "124 PETERSEN PARKWAY SUITE 2",
            "city": "THAYNE",
            "state": "WY",
            "postal_code": "83127",
            "telephone_number": "307-883-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PETERSEN PARKWAY",
            "address_2": "124 PETERSEN PARKWAY SUITE 2",
            "city": "THAYNE",
            "state": "WY",
            "postal_code": "83127",
            "telephone_number": "307-883-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY XRAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUEAR",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "RADIOLOGY TECH",
        "authorized_official_telephone_number": "307-883-9729",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "WY",
            "license": "GN025022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiologic Technologist in Thayne, WY
• Providers in Thayne, WY by specialty
• 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.