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WYOMING SURGICAL CENTER MRI
NPI 1164599379
Radiology - Diagnostic Radiology in Casper, WY

Active since November 30, 2006CLIA 53D0979484 · Waiver
4140 CENTENNIAL HILLS BLVD, #C, CASPER, WY 82609(307) 472-8781(307) 472-8887 Get Directions Write a Review

NPPES record last updated: July 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wyoming Surgical Center Mri NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYOMING SURGICAL CENTER MRI (NPI 1164599379) is a healthcare organization registered as a diagnostic radiology in Casper, Wyoming and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through October 23, 2026 and lists Charles Robertson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1164599379
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameWYOMING SURGICAL CENTER MRI
Location Address4140 CENTENNIAL HILLS BLVD, #CCasper, WY 82609-3265
Mailing Address4140 Centennial Hills Blvd #cCasper, WY 82609 · (307) 472-8781 · Fax (307) 472-8887
Phone(307) 472-8781
Fax(307) 472-8887
Organization SubpartNo
Authorized OfficialCharles RobertsonAdministrator · (307) 472-8781
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 7, 2008
✔ NPI 1164599379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in WY · 35-2-904
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4140 CENTENNIAL HILLS BLVD, Casper, WY 82609
Open in Google Maps ↗

Other Identifiers 4

Other=========001WY · Triwest
OtherWY00549WY · Blue Cross Blue Shield Of Wyoming
Medicare PINW9336WY
OtherP00092902WY · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D0979484

Wyoming Surgical Center, LLC · Casper, WY
Active · expires Oct 23, 2026
CLIA Number53D0979484
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorDr. Robert A. Allaire
Laboratory Phone(307) 472-8781
Laboratory LocationWyoming Surgical Center, LLC4140 Centennial Hills Blvd Suite C, Casper, WY 82601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS W LANDON MD
Orthopaedic Surgery
4140 CENTENNIAL HILLS BLVD, STE A
CASPER, WY 82609
Natrona County (307) 265-7205
GEOFFREY STANKUS PT
Physical Therapist
4140 CENTENNIAL HILLS BLVD, A
CASPER, WY 82609
Natrona County (307) 265-7205
DR. MATTHEW GORMAN M.D.
Orthopaedic Surgery
4140 CENTENNIAL HILLS BLVD, STE A
CASPER, WY 82609
Natrona County (307) 265-7205
KACIE MCCLEARY ATC
Specialist/Technologist (Athletic Trainer)
4140 CENTENNIAL HILLS BLVD
CASPER, WY 82609
Natrona County (307) 265-7205
CASPER ORTHOPAEDIC ASSOCIATES PC
Durable Medical Equipment & Medical Supplies
4140 CENTENNIAL HILLS BLVD, SUITE A
CASPER, WY 82609
Natrona County (307) 265-7205
MATTHEW EUGENE MITCHELL
Orthopaedic Surgery
4140 CENTENNIAL HILLS BLVD, STE A
CASPER, WY 82609
Natrona County (307) 265-7205
JOHN D BARRASSO MD
Orthopaedic Surgery
4140 CENTENNIAL HILLS BLVD, SUITE A
CASPER, WY 82609
Natrona County (307) 265-7205
SHEENA MARIE SISCOE MSN, FNP-C
Nurse Practitioner
4140 CENTENNIAL HILLS BLVD, STE A
CASPER, WY 82609
Natrona County (307) 265-7205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wyoming Surgical Center Mri's NPI number?

The NPI number for Wyoming Surgical Center Mri is 1164599379. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is Wyoming Surgical Center Mri located?

Wyoming Surgical Center Mri is located at 4140 Centennial Hills Blvd #c, Casper, WY 82609. The listed phone number is (307) 472-8781.

What is Wyoming Surgical Center Mri's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Wyoming Surgical Center Mri hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D0979484) is associated with this NPI, valid through October 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wyoming Surgical Center Mri was last updated on July 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.