BLACK ROCK ADVANCED MEDICAL IMAGING – NPI #1649556838
Radiology

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

Health Care Provider Taxonomy Code for Radiology

BLACK ROCK ADVANCED MEDICAL IMAGING is a radiologist located in GILLETTE, WY. NPPES has assigned the NPI number 1649556838 to BLACK ROCK ADVANCED MEDICAL IMAGING on November 01, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 last updated on Aug 08, 2024. 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 BLACK ROCK ADVANCED MEDICAL IMAGING below.

NPI Profile for
BLACK ROCK ADVANCED MEDICAL IMAGING

NPI Number
1649556838
Enumeration Date

(more than 14 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
BLACK ROCK ADVANCED MEDICAL IMAGING
Primary location
620 4J CT
UNIT C
GILLETTE, WY 82716-4130
Phone: (307) 682-8228 Fax: (307) 682-8266
Mailing address
620 4 J CT UNIT D
GILLETTE, WY 82716-4130
Phone: (307) 682-8228 Fax: (307) 682-8266
Organization Subpart
No
Authorized Official
MARK MURPHY
PRESIDENT
Phone: (307) 358-6200
Updated
Certification Date
Aug 08, 2024

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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
293D00000X
- Physiological Laboratory

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.