Healthcare Provider Details

I. General information

NPI: 1962584508
Provider Name (Legal Business Name): BILLINGS MRI CENTER, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 08/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041 N 29TH ST
BILLINGS MT
59101-0700
US

IV. Provider business mailing address

1041 N 29TH ST
BILLINGS MT
59101-0700
US

V. Phone/Fax

Practice location:
  • Phone: 406-255-6530
  • Fax: 406-247-1087
Mailing address:
  • Phone: 406-255-6530
  • Fax: 406-247-1087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. BRUCE BROSWICK
Title or Position: DIRECTOR
Credential:
Phone: 406-237-0455