INTERMOUNTAIN MEDICAL IMAGING LLC NPI 1326247511

NPI Information

  • NPI: 1326247511
  • Provider Name: INTERMOUNTAIN MEDICAL IMAGING LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • CLIA Number: 13D2050494
  • Address: 323 E RIVERSIDE DR
    SUITE 108
    EAGLE, ID
    ZIP 83616
  • Phone: (208) 367-7510

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NPI Details

INTERMOUNTAIN MEDICAL IMAGING LLC is a diagnostic radiology radiology in Eagle, ID. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. INTERMOUNTAIN MEDICAL IMAGING LLC NPI is 1326247511. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

323 E RIVERSIDE DR
SUITE 108
EAGLE, ID
ZIP 83616-864
Phone: (208) 367-7510

The provider's authorized official is Wayne Baldwin .
The authorized official title is Executive Director and has the following contact phone number (208) 384-3060.

The CLIA number assigned to this NPI record is 13D2050494 - other - radiology clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 10/31/2023.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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: 11/21/2025

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