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BOISE RADIOLOGY GROUP PLLC NPI 1740216175


NPI Information

NPI: 1740216175
Provider Name: BOISE RADIOLOGY GROUP PLLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
620 W HAYS ST
BOISE, ID
ZIP 83702
Phone: (208) 381-2094
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BOISE RADIOLOGY GROUP PLLC is a diagnostic radiology radiology in Boise, ID. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BOISE RADIOLOGY GROUP PLLC NPI is 1740216175. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

620 W HAYS ST
BOISE, ID
ZIP 83702-511
Phone: (208) 381-2094
Fax: (208) 381-1791

The provider's authorized official is Lisa Smith .
The authorized official title is Administrator and has the following contact phone number (208) 433-9466.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 3/4/2024.


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
12085N0700XRadiologyNeuroradiologyNo
22085R0202XRadiologyDiagnostic RadiologyYes
32085R0204XRadiologyVascular & Interventional RadiologyNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.