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INTERMOUNTAIN NEURODIAGNOSTICS INC NPI 1336475516


NPI Information

NPI: 1336475516
Provider Name: INTERMOUNTAIN NEURODIAGNOSTICS INC
Classification: Specialist/Technologist, Other - 246ZE0600X
Entity Type: Organization

Specialization: Electroneurodiagnostic

Address:
4596 MCCOWIN LN
IDAHO FALLS, ID
ZIP 83406
Phone: (208) 524-8372
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INTERMOUNTAIN NEURODIAGNOSTICS INC is an electroneurodiagnostic specialist technologist other in Idaho Falls, ID. INTERMOUNTAIN NEURODIAGNOSTICS INC NPI is 1336475516. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4596 MCCOWIN LN
IDAHO FALLS, ID
ZIP 83406-350
Phone: (208) 524-8372

The provider's authorized official is Dottie M Laflin .
The authorized official title is President and has the following contact phone number (208) 528-7566.

The enumeration date for this NPI number is 10/23/2009 and was last updated on 10/23/2009.


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
1246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticYes

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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