TETON RADIOLOGY MADISON LLC NPI 1407081060

NPI Information

NPI: 1407081060
Provider Name: TETON RADIOLOGY MADISON LLC
Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
425 E 4TH N
REXBURG, ID
ZIP 83440
Phone: (208) 356-4888
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TETON RADIOLOGY MADISON LLC is a body imaging radiology in Rexburg, ID. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. TETON RADIOLOGY MADISON LLC NPI is 1407081060. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

425 E 4TH N
REXBURG, ID
ZIP 83440-390
Phone: (208) 356-4888

The provider's authorized official is John J Strobel .
The authorized official title is Vp and has the following contact phone number (208) 542-5000.

The enumeration date for this NPI number is 5/26/2009 and was last updated on 1/10/2015.

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	2085B0100X	Radiology	Body Imaging			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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