OrganizationActive
Elevation Medical Imaging Evanston
NPI 1184242521 · Radiology Clinic/Center · Evanston, WY
Provider details
- NPI number
- 1184242521
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Shaun Andrikopoulos, Director Officer
Practice location
1485 State Highway 150 S
Evanston, WY 82930-5344
Phone: (307) 444-4215
Fax: (307) 444-4219
Mailing address
Po Box 2393
Idaho Falls, ID 83403-2393
Registry dates
- Enumerated
- 2020-07-13
- Last updated
- 2021-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.