3D Mammography of Southwest Montana, Inc.

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

Legal business name

3D MAMMOGRAPHY OF SOUTHWEST MONTANA, INC.

Practice address

800 W Platinum St
Unit D
Butte, MT 59701-2200

Phone

(406) 299-3302

Fax

(406) 299-3304

NPI assigned

Jul 29, 2014

Last updated

Jun 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Thomas Rule, E.A.

Title

President

Phone

(406) 560-3266

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: tbrozovich@3dmammographyofswmt.com

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1861800286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W PLATINUM ST",
            "address_2": "SUITE D",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012200",
            "telephone_number": "406-299-3302",
            "fax_number": "406-299-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W PLATINUM ST",
            "address_2": "UNIT D",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012200",
            "telephone_number": "406-299-3302",
            "fax_number": "406-299-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3D MAMMOGRAPHY OF SOUTHWEST MONTANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "RULE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-560-3266",
        "authorized_official_credential": "E.A."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085RP2020X",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbrozovich@3dmammographyofswmt.com",
            "affiliation": "N",
            "endpointDescription": "work e-mail address",
            "address_1": "800 W Platinum St",
            "address_2": "Unit D",
            "city": "Butte",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597012200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mammography Clinic/Center in Butte, MT
• Providers in Butte, MT by specialty
• Mammography Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.