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NPI Code Detail

MEDICARE: MONTANA IMAGING CENTER

MEDICARE: MONTANA IMAGING CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0200XRadiology Clinic/Center

General Provider Information

NPI Number : 1811646961
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONTANA IMAGING CENTER
Provider Business Mailing Address
First Line : 1510 S RESERVE ST
Second Line :
City : MISSOULA
State : MT
Zip : 59801-4756
Country : US
Telephone Number : 406-540-4117
Fax Number :
Provider Business Practice Location Address
First Line : 1510 S RESERVE ST
Second Line :
City : MISSOULA
State : MT
Zip : 59801-4756
Country : US
Telephone Number : 406-540-4117
Fax Number :
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : DR. TIMOTHY MCCUE
Credential : MD
Telephone Number : 406-540-4117
Provider Enumeration Date : 03/23/2022
Last Update Date : 12/14/2022

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Directions to “MONTANA IMAGING CENTER ” Practice Location

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