Provider Demographics
NPI:1578171781
Name:FLEXIBLE MEDICAL IMAGING, LLC
Entity type:Organization
Organization Name:FLEXIBLE MEDICAL IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CEDAR
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-604-0408
Mailing Address - Street 1:PO BOX 5486
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59903
Mailing Address - Country:US
Mailing Address - Phone:404-604-0408
Mailing Address - Fax:406-344-9048
Practice Address - Street 1:671 SCENIC DR
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-2333
Practice Address - Country:US
Practice Address - Phone:406-604-0408
Practice Address - Fax:406-344-9048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-14
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier