IDAHO INDEPENDENT MRI LLC NPI 1255345765

NPI Information

NPI: 1255345765
Provider Name: IDAHO INDEPENDENT MRI LLC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
562 SHOUP AVE W
TWIN FALLS, ID
ZIP 83301
Phone: (208) 732-1205
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IDAHO INDEPENDENT MRI LLC is a radiology and mobile clinic center in Twin Falls, ID. IDAHO INDEPENDENT MRI LLC NPI is 1255345765. The provider is registered as an organization entity type.

The provider's business location address is:

562 SHOUP AVE W
TWIN FALLS, ID
ZIP 83301-029
Phone: (208) 732-1205

The provider's authorized official is Frederick L Surbaugh .
The authorized official title is Owner and has the following contact phone number (208) 732-1205.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0208X	Clinic/Center	Radiology, Mobile			Yes

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: 11/14/2023

NPI Synchronization or Removal

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