Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Rock Advanced Medical Imaging

Organization Diagnostic Radiology Physician · NPI 1649556838

Black Rock Advanced Medical Imaging is a Diagnostic Radiology Physician in Gillette, Wyoming. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2

Practice location Address checks out

620 4J Ct Unit C
Gillette, WY 82716-4130
Phone: (307) 682-8228
Fax: (307) 682-8266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X
Physiological Laboratory Taxonomy 293D00000X

Record details

NPI number1649556838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Murphy — President · (307) 358-6200
NPI enumeratedNovember 1, 2011
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address620 4 J Ct Unit D, Gillette, WY 82716-4130

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