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NPI 1679520415 · live from the CMS NPI Registry

Intermountain Medical Imaging LLC

Radiology, Diagnostic Radiology in Meridian, ID. National Provider Identifier 1679520415, active.

NPI record

NPI1679520415 Type 2 · organization
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location2929 E Magic View Dr, Meridian, ID 83642
Practice phone208-367-8222
Mailing addressPo Box 4568, Portland, OR 97208
EnumeratedMay 27, 2006
Last updatedAugust 19, 2026
Authorized officialNorman Hames, Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology primary2085R0202X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.