NPI 1457918674 · live from the CMS NPI Registry
Direct Radiology Wisconsin, Service Corporation
Radiology, Diagnostic Radiology in Coeur D Alene, ID. National Provider Identifier 1457918674, active.
NPI record
| NPI | 1457918674 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1839 N Government Way Ste B, Coeur D Alene, ID 83814 |
| Practice phone | 855-687-7237 |
| Enumerated | May 22, 2019 |
| Last updated | May 22, 2019 |
| Authorized official | John Arias, Principal |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.