ELEVATION MEDICAL IMAGING GILLETTE – NPI #1003587692
Clinic/Center

ELEVATION MEDICAL IMAGING GILLETTE is an AHC clinic located in GILLETTE, WY. NPPES has assigned the NPI number 1003587692 to ELEVATION MEDICAL IMAGING GILLETTE on September 23, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

The NPI profile was previously updated about 3 years ago on Apr 24, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELEVATION MEDICAL IMAGING GILLETTE below.

NPI Profile for
ELEVATION MEDICAL IMAGING GILLETTE

NPI Number
1003587692
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELEVATION MEDICAL IMAGING GILLETTE
Primary location
913 E BOXELDER RD
GILLETTE, WY 82718
Phone: (307) 682-1779 Fax: (307) 682-1745
Mailing address
PO BOX 736
WHEAT RIDGE, CO 80034-0736
Phone: (307) 218-8223 Fax: (317) 218-8224
Organization Subpart
No
Authorized Official
SHAUN ANDRIKOPOULOS
PARTNER
Phone: (307) 682-1779
Updated
Certification Date
Apr 24, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0200X
- Clinic/Center / Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.