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NPI 1578171781

NPI 1578171781 : FLEXIBLE MEDICAL IMAGING, LLC : KALISPELL, MT

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General NPI Number Information
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    NPI Number           |    1578171781
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    Entity Type          |    Organization 
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    Legal Business Name  |    FLEXIBLE MEDICAL IMAGING, LLC 
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Dates
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    Enumeration Date     |    07/14/2020
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    Last Update Date     |    12/12/2025
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Provider Practice Location Address
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    Address Line         |    555 CORPORATE DR STE 204B 
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    City                 |    KALISPELL
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    State                |    MT
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    Zip                  |    59901-6138
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    Country              |    US
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    Telephone            |    406-604-0408
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    Fax                  |    406-344-9048
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5486 
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    City                 |    KALISPELL
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    State                |    MT
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    Zip                  |    59903-5486
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    Country              |    US
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    Telephone            |    404-604-0408
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    Fax                  |    406-344-9048
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CEDAR  MARTIN 
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    Credential           |    
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    Telephone            |    406-604-0408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    293D00000X
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    Taxonomy Name        |    Physiological Laboratory
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QR0208X
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    Taxonomy Name        |    Mobile Radiology Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    335V00000X
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    Taxonomy Name        |    Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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    License Number       |    
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    License Number State |    
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