INTERMOUNTAIN DIAGNOSTICS INC. NPI 1558304923

NPI Information

NPI: 1558304923
Provider Name: INTERMOUNTAIN DIAGNOSTICS INC.
Classification: Specialist/Technologist Cardiovascular - 246XS1301X
Entity Type: Organization

Specialization: Sonography

Address:
200 N 4TH ST
SUITE 15
BOISE, ID
ZIP 83702
Phone: (208) 331-0436
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INTERMOUNTAIN DIAGNOSTICS INC. is a sonography specialist technologist cardiovascular in Boise, ID. INTERMOUNTAIN DIAGNOSTICS INC. NPI is 1558304923. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

200 N 4TH ST
SUITE 15
BOISE, ID
ZIP 83702-001
Phone: (208) 331-0436
Fax: (208) 331-3443

The provider's authorized official is Dale R. Aspelund .
The authorized official title is Manager/sec/treas and has the following contact phone number (208) 331-0436.

The enumeration date for this NPI number is 6/14/2006 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	246XS1301X	Specialist/Technologist Cardiovascular	Sonography			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: 4/28/2024

NPI Synchronization or Removal

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