IMAGING CENTER OF IDAHO LLC NPI 1801090204

NPI Information

NPI: 1801090204
Provider Name: IMAGING CENTER OF IDAHO, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
4519 ENTERPRISE WY
CALDWELL, ID
ZIP 83605
Phone: (208) 455-7482
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IMAGING CENTER OF IDAHO, LLC is a radiology clinic center in Caldwell, ID. IMAGING CENTER OF IDAHO, LLC NPI is 1801090204. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4519 ENTERPRISE WY
CALDWELL, ID
ZIP 83605-999
Phone: (208) 455-7482
Fax: (208) 455-7538

The provider's authorized official is Gregory F. Clark .
The authorized official title is Ceo and has the following contact phone number (208) 629-6235.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 11/8/2007.

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	Primary
1	2471B0102X	Radiologic Technologist	Bone Densitometry	No
2	2471C3401X	Radiologic Technologist	Computed Tomography	No
3	2471C3402X	Radiologic Technologist	Radiography	No
4	2471M1202X	Radiologic Technologist	Magnetic Resonance Imaging	No
5	2471M2300X	Radiologic Technologist	Mammography	No
6	2471S1302X	Radiologic Technologist	Sonography	No
7	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	No
8	261QR0200X	Clinic/Center	Radiology	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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