NPI 1417915430 · live from the CMS NPI Registry
Justin A Lamb, D.O.
Radiology, Diagnostic Radiology in Idaho Falls, ID. National Provider Identifier 1417915430, active.
NPI record
| NPI | 1417915430 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 3100 Channing Way, Idaho Falls, ID 83404 |
| Practice phone | 208-529-6111 |
| Mailing address | 2265 E Sunnyside Rd, Idaho Falls, ID 83404 |
| Enumerated | May 1, 2006 |
| Last updated | August 22, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| 2085N0700X | 0-0410 (ID) | |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 0-0410 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.