NPI 1093945016 · live from the CMS NPI Registry
Bone Density Of North Idaho LLC
Radiology, Diagnostic Radiology in Coeur D Alene, ID. National Provider Identifier 1093945016, active.
NPI record
| NPI | 1093945016 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1401 Lincoln Way, Coeur D Alene, ID 83814 |
| Practice phone | 208-664-5904 |
| Mailing address | 700 W Ironwood Dr, Suite 272e, Coeur D Alene, ID 83814 |
| Enumerated | July 24, 2009 |
| Last updated | July 24, 2009 |
| Authorized official | Eric Koelsch, Executive Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | O-45 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.