Healthcare Provider Details

I. General information

NPI: 1578171781
Provider Name (Legal Business Name): FLEXIBLE MEDICAL IMAGING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2020
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 CORPORATE DR STE 103
KALISPELL MT
59901-6094
US

IV. Provider business mailing address

PO BOX 5486
KALISPELL MT
59903-5486
US

V. Phone/Fax

Practice location:
  • Phone: 406-604-0408
  • Fax: 406-344-9048
Mailing address:
  • Phone: 406-604-0408
  • Fax: 406-344-9048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: CEDAR MARTIN
Title or Position: OWNER
Credential:
Phone: 970-822-2131