NPI 1003587692

Elevation Medical Imaging Gillette

Organisation Radiology Clinic/Center Gillette, WY

Practice location

Address: 913 E Boxelder Rd, Gillette, WY 82718
Phone: (307) 682-1779
Fax: (307) 682-1745
Mailing address: PO Box 736, Wheat Ridge, CO 80034-0736

Authorised official

Name: Shaun Andrikopoulos
Title: Partner
Phone: (307) 682-1779

Registered specialties

Radiology Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0200X

Other Clinic/Center providers in Wyoming →

Registry record

NPI: 1003587692
Entity type: Organization
NPI issued: 23 Sep 2021
Record last updated: 24 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.