INTEGRA IMAGING PS - MT – NPI #1053868992
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

INTEGRA IMAGING PS - MT is a radiologist located in MISSOULA, MT. NPPES has assigned the NPI number 1053868992 to INTEGRA IMAGING PS - MT on September 08, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

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 INTEGRA IMAGING PS - MT below.

NPI Profile for
INTEGRA IMAGING PS - MT

NPI Number
1053868992
Enumeration Date

(about 10 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
INTEGRA IMAGING PS - MT
Primary location
2419 MULLAN RD
D
MISSOULA, MT 59808-1856
Phone: (509) 747-4455 Fax:
Mailing address
801 S STEVENS ST
SPOKANE, WA 99204-2654
Phone: (509) 747-4455 Fax:
Organization Subpart
Yes - INTEGRA IMAGING PS - MT is subpart of another organization.
Authorized Official
SARAH RUSSELL
COO
Phone: (509) 747-4455
Updated
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
MT

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.