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

Integra Imaging Ps - Mt

Organization Diagnostic Radiology Physician · NPI 1053868992

Integra Imaging Ps - Mt is a Diagnostic Radiology Physician in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2016.

Licensed in
MT
In the registry since
2016

Practice location Address checks out

2419 Mullan Rd D
Missoula, MT 59808-1856
Phone: (509) 747-4455
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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 (MT)

Record details

NPI number1053868992
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntegra Imaging Ps
Authorized official Sarah Russell — Coo · (509) 747-4455
NPI enumeratedSeptember 8, 2016
Last updated in NPPESSeptember 8, 2016
Mailing address801 S Stevens St, Spokane, WA 99204-2654

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