Organization Name: | MEDICAL IMAGING CONNECTIONS |
NPI Number: | 1417028648 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEN G KELLUM (PRESIDENT) |
Mailing Address: | 1220 2nd St W Roundup |
State: | MT US |
Postal Code: | 590721836 |
Phone Number: | 4063237226 |
Fax Number: | 2063397486 |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |