Provider Demographics
NPI:1740206754
Name:SOUTHWEST MONTANA RADIOLOGY LLC
Entity Type:Organization
Organization Name:SOUTHWEST MONTANA RADIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINFELDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-723-3279
Mailing Address - Street 1:820 W PLATINUM ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-2218
Mailing Address - Country:US
Mailing Address - Phone:406-723-3279
Mailing Address - Fax:406-723-9348
Practice Address - Street 1:820 W PLATINUM ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-2218
Practice Address - Country:US
Practice Address - Phone:406-723-3279
Practice Address - Fax:406-723-9348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PENDINGMedicare ID - Type Unspecified