SJRMC INTERVENTIONAL RADIOLOGY SERVICES LLC NPI 1982037107

NPI Information

NPI: 1982037107
Provider Name: SJRMC INTERVENTIONAL RADIOLOGY SERVICES LLC
Classification: Radiology - 2085N0700X
Entity Type: Organization

Specialization: Neuroradiology

Address:
415 6TH ST
LEWISTON, ID
ZIP 83501
Phone: (208) 750-7445
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SJRMC INTERVENTIONAL RADIOLOGY SERVICES LLC is a neuroradiology radiology in Lewiston, ID. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. SJRMC INTERVENTIONAL RADIOLOGY SERVICES LLC NPI is 1982037107. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

415 6TH ST
LEWISTON, ID
ZIP 83501-431
Phone: (208) 750-7445
Fax: (208) 750-7395

The provider's authorized official is Terrance Dillon .
The authorized official title is Asst Secretary and has the following contact phone number (615) 920-7000.

The enumeration date for this NPI number is 8/12/2013 and was last updated on 3/24/2022.

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	2085B0100X	Radiology	Body Imaging	No
2	2085R0204X	Radiology	Vascular & Interventional Radiology	No
3	261QR0200X	Clinic/Center	Radiology	No
4	2085N0700X	Radiology	Neuroradiology	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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