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DIAGNOSTIC IMAGING SERVICE OF IDAHO NPI 1508875360


NPI Information

NPI: 1508875360
Provider Name: DIAGNOSTIC IMAGING SERVICE OF IDAHO
Classification: Radiologic Technologist - 2471C3402X
Entity Type: Organization

Specialization: Radiography

Address:
1951 BENCH RD
SUITE F
POCATELLO, ID
ZIP 83201
Phone: (208) 237-0977
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DIAGNOSTIC IMAGING SERVICE OF IDAHO is a radiography radiologic technologist in Pocatello, ID. The provider is a radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care. DIAGNOSTIC IMAGING SERVICE OF IDAHO NPI is 1508875360. The provider is registered as an organization entity type.

The provider's business location address is:

1951 BENCH RD
SUITE F
POCATELLO, ID
ZIP 83201-073
Phone: (208) 237-0977
Fax: (208) 237-0985

The provider's authorized official is James Jay Everson .
The authorized official title is Owner and has the following contact phone number (208) 237-0977.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 6/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0208XClinic/CenterRadiology, MobileNo
22471C3402XRadiologic TechnologistRadiographyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1804301300MEDICAIDIDAHO
21790019MEDICARE ID-TYPE UNSPECIFIEDIDAHOPROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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