Organization · Type 2 NPI
Elevation Medical Imaging Evanston
Radiology Clinic/Center · Evanston, WY
NPI number
1184242521
Active
Practice location
1485 State Highway 150 S
Evanston, WY 82930-5344
Fax (307) 444-4219
Mailing address
PO Box 2393
Idaho Falls, ID 83403-2393
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | None listed |
| Radiology Clinic/Center Primary | 261QR0200X | None listed |
Radiology Clinic/Center: Definition to come...
About NPI 1184242521
Elevation Medical Imaging Evanston's National Provider Identifier is 1184242521, issued on Jul 13, 2020. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Evanston, WY. The record was last updated on Sep 16, 2021.