GEM STATE RADIOLOGY LLP NPI 1154584712

NPI Information

GEM STATE RADIOLOGY LLP 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. GEM STATE RADIOLOGY LLP NPI is 1154584712. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Advanced Vein Therapy.

The provider's business location address is:

161 E MALLARD DR
SUITE 130
BOISE, ID
ZIP 83706-974
Phone: (208) 384-9060

The provider's authorized official is Jeffrey R Cliff .
The authorized official title is Executive Director and has the following contact phone number (208) 384-9060.

The enumeration date for this NPI number is 7/3/2008 and was last updated on 7/3/2008.

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:

Other Identifiers

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

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.