Healthcare Provider Details

I. General information

NPI: 1730454414
Provider Name (Legal Business Name): CLEARVIEW SONOGRAPHICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2012
Last Update Date: 07/17/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1216 16TH ST W STE 21
BILLINGS MT
59102-4100
US

IV. Provider business mailing address

PO BOX 22093
BILLINGS MT
59104-2093
US

V. Phone/Fax

Practice location:
  • Phone: 406-969-4340
  • Fax: 406-969-4341
Mailing address:
  • Phone: 406-969-4340
  • Fax: 406-969-4341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BUFFY STILES
Title or Position: OWNER
Credential: RT, RDMS, RVT
Phone: 406-969-4340