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OUTPATIENT RADIOLOGY LLC
NPI 1396704474
Radiology - Diagnostic Radiology in Casper, WY

Active since March 20, 2006CLIA Certified · 2 labs
419 SOUTH WASHINGTON STREET, SUITE 101, CASPER, WY 82601(307) 234-6963(307) 237-1074 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 17, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Outpatient Radiology Llc NPPES

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

OUTPATIENT RADIOLOGY LLC (NPI 1396704474) is a healthcare organization registered as a diagnostic radiology in Casper, Wyoming and active in the NPI registry since March 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Scottsbluff, and lists Jeffrey Rhea, President, as its authorized official.

NPPES Registry Identity

NPI1396704474
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameOUTPATIENT RADIOLOGY LLC
Location Address419 SOUTH WASHINGTON STREET, SUITE 101Casper, WY 82601
Mailing Address419 South Washington Street, Suite 101Casper, WY 82601 · (307) 234-6963 · Fax (307) 237-1074
Phone(307) 234-6963
Fax(307) 237-1074
Organization SubpartNo
Authorized OfficialJeffrey RheaPresident · (307) 265-1620
Enumeration DateMarch 20, 2006
Last NPPES UpdateJune 17, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1396704474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
419 SOUTH WASHINGTON STREET, Casper, WY 82601
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Secondary Practice Location 1

Location 1820 W 42nd St Ste 1500Scottsbluff, NE 69361-5017 · Phone (307) 265-1620 · Fax (307) 237-1074

Other Identifiers 2

Medicaid10025260001NE
Medicaid116358200WY

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 28D2305940

Outpatient Radiology Scottsbluff · Scottsbluff, NE
Active · expires Jun 9, 2028
CLIA Number28D2305940
Laboratory TypeOutpatient Imaging Center
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorLevi A. Keener
Laboratory Phone(308) 251-2393
Laboratory LocationOutpatient Radiology Scottsbluff820 W 42nd Street Suite 1500, Scottsbluff, NE 69361
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 53D2281744

Outpatient Radiology LLC · Casper, WY
Active · expires May 10, 2027
CLIA Number53D2281744
Laboratory TypeOutpatient Radiology Imag
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorKayla Bullington
Laboratory Phone(307) 232-5047
Laboratory LocationOutpatient Radiology LLC419 S Washington Suite 101, Casper, WY 82601
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

CASPER MEDICAL IMAGING, P.C.
Radiology (Diagnostic Radiology)
419 SOUTH WASHINGTON STREET, SUITE 101
CASPER, WY 82601
Natrona County (307) 265-1620
DR. STEVEN RAY HORN MD
Radiology (Diagnostic Radiology)
419 SOUTH WASHINGTON STREET, SUITE 101
CASPER, WY 82601
Natrona County (307) 265-1620

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 Outpatient Radiology LLC's NPI number?

The NPI number for Outpatient Radiology LLC is 1396704474. It was assigned to this organization in the NPPES registry on March 20, 2006.

Where is Outpatient Radiology LLC located?

Outpatient Radiology LLC is located at 419 South Washington Street Suite 101, Casper, WY 82601. The listed phone number is (307) 234-6963.

What is Outpatient Radiology LLC's specialty?

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

Does Outpatient Radiology LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Outpatient Radiology LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross Blue Shield of Wyoming and 3 other insurers list Outpatient Radiology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Outpatient Radiology LLC was last updated on June 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.