IDAHO MEDICAL IMAGING LLC NPI 1770698482

NPI Information

IDAHO MEDICAL IMAGING, LLC is a diagnostic radiology radiology in Pocatello, ID. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. IDAHO MEDICAL IMAGING, LLC NPI is 1770698482. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

444 HOSPITAL WAY STE 611
POCATELLO, ID
ZIP 83201-744
Phone: (208) 233-3000

The provider's authorized official is Scott Dean .
The authorized official title is Business Manager and has the following contact phone number (208) 233-7931.

The CLIA number assigned to this NPI record is 13D2133859 - ancillary test site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 11/28/2007.

Taxonomy Codes

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Other Identifiers

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