Healthcare Provider Details

I. General information

NPI: 1598033755
Provider Name (Legal Business Name): COMMUNITY MRI SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2011
Last Update Date: 02/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1739 SPRING CREEK LANE SUITE 400
BILLINGS MT
59102-6756
US

IV. Provider business mailing address

3223 32ND AVE S SUITE 201
FARGO ND
58103-6297
US

V. Phone/Fax

Practice location:
  • Phone: 406-325-5030
  • Fax: 406-325-5031
Mailing address:
  • Phone: 701-297-0305
  • Fax: 701-235-9660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL J HOFER SR.
Title or Position: PRESIDENT
Credential:
Phone: 701-297-0305