NPI 1649335373 · live from the CMS NPI Registry
Idaho Advanced Imaging PA
Radiology, Diagnostic Radiology in Nampa, ID. National Provider Identifier 1649335373, active.
NPI record
| NPI | 1649335373 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1512 12th Ave Rd, Nampa, ID 83686 |
| Practice phone | 208-463-5431 |
| Mailing address | Po Box 9649, Boise, ID 83707 |
| Enumerated | December 22, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Janice Brooks, Owner |
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.