NPI 1215973169 · live from the CMS NPI Registry
Idaho Radiology Associates PLLC
Radiology, Diagnostic Radiology in Boise, ID. National Provider Identifier 1215973169, active.
NPI record
| NPI | 1215973169 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 2035 Silvercreek Ln, Boise, ID 83706 |
| Practice phone | 208-368-0095 |
| Mailing address | Po Box 9649, Boise, ID 83707 |
| Enumerated | June 21, 2006 |
| Last updated | July 28, 2007 |
| Authorized official | Diane Newton, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| 2085N0700X | — | |
| Radiology, Diagnostic Radiology primary | 2085R0202X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.