| Advanced Medical Imaging | |
|
905 Highland Blvd Suite 4100 Bozeman MT 59715-6902 | |
| (406) 556-5200 | |
| (406) 556-5205 |
| Full Name | Advanced Medical Imaging |
|---|---|
| Speciality | Clinic/Center |
| Location | 905 Highland Blvd, Bozeman, Montana |
| Authorized Official Name and Position | Brandee Deslauriers (BUSINESS MANAGER) |
| Authorized Official Contact | 4065878631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Imaging 1648 Ellis St Ste 201 Bozeman MT 59715-8811 Ph: (406) 587-8631 | Advanced Medical Imaging 905 Highland Blvd Suite 4100 Bozeman MT 59715-6902 Ph: (406) 556-5200 |
| NPI Number | 1497704860 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Medicare PECOS PAC ID | 0941238042 |
|---|---|
| Medicare Enrollment ID | O20050729000996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497704860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 261QR0200X | Clinic/center - Radiology | 7873 (Montana) | Secondary |
| Provider Name | Ronald W Tharp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124080270 PECOS PAC ID: 6406830694 Enrollment ID: I20050801000907 |
| Provider Name | Heidi L Tuthill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932169182 PECOS PAC ID: 8224171608 Enrollment ID: I20100726000819 |
| Provider Name | Cynthia M Carter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205074648 PECOS PAC ID: 9830223478 Enrollment ID: I20100817001675 |
| Provider Name | Albert P Meier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851612782 PECOS PAC ID: 7113051012 Enrollment ID: I20110819000585 |
| Provider Name | Reginald T Handley |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1205018595 PECOS PAC ID: 3476721622 Enrollment ID: I20130206000153 |
| Provider Name | Douglas Hadley |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1902984776 PECOS PAC ID: 5597945287 Enrollment ID: I20151125000652 |
| Provider Name | Heather L Borders |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508082892 PECOS PAC ID: 8325107790 Enrollment ID: I20190129002826 |
| Provider Name | Jason Thomas Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508201773 PECOS PAC ID: 2668737826 Enrollment ID: I20190617003313 |
| Provider Name | Meghan Mckeon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316926215 PECOS PAC ID: 9032137195 Enrollment ID: I20211012003183 |
| Provider Name | Jason Himmel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740406149 PECOS PAC ID: 0345310421 Enrollment ID: I20220615003364 |
| Provider Name | Peder Horner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235218942 PECOS PAC ID: 0143398263 Enrollment ID: I20230530002593 |
| Provider Name | Gabriel Edwards |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1578821963 PECOS PAC ID: 2860765534 Enrollment ID: I20231220002854 |
| Provider Name | Gerald M Thorburn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467558221 PECOS PAC ID: 0840279352 Enrollment ID: I20251205003767 |
| Provider Name | Andrew Helming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013565894 PECOS PAC ID: 3577964873 Enrollment ID: I20260603001035 |
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