ADVANCED MEDICAL IMAGING LLC – NPI #1629169602
Radiology

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

ADVANCED MEDICAL IMAGING LLC is a radiologist located in ROCK SPRINGS, WY. NPPES has assigned the NPI number 1629169602 to ADVANCED MEDICAL IMAGING LLC on September 27, 2006. 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

The NPI profile was previously updated about 4 years ago on Feb 14, 2022. 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 ADVANCED MEDICAL IMAGING LLC below.

NPI Profile for
ADVANCED MEDICAL IMAGING LLC

NPI Number
1629169602
Enumeration Date

(more than 19 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
ADVANCED MEDICAL IMAGING LLC
Primary location
1200 COLLEGE DR
ROCK SPRINGS, WY 82901-5868
Phone: (786) 621-3900 Fax:
Mailing address
PO BOX 912853
DENVER, CO 80291-2853
Phone: (786) 621-3900 Fax: (405) 948-6507
Organization Subpart
No
Authorized Official
FREDERICK MATTI
PRESIDENT
Phone: (307) 352-8384
Updated
Certification Date
Feb 14, 2022

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.

Identifiers

Identifiers for ADVANCED MEDICAL IMAGING LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS OF WY06012001
OTHERDEPT OF LABOR612454200
MEDICAIDWY123400500
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)

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.