NPI 1689087009 · live from the CMS NPI Registry
Jayson Lavie, M.D.
Radiology, Diagnostic Radiology in Boise, ID. National Provider Identifier 1689087009, active.
NPI record
| NPI | 1689087009 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1072 N Liberty St Ste 200, Boise, ID 83704 |
| Practice phone | 208-302-4100 |
| Mailing address | Po Box 190930, Boise, ID 83719 |
| Enumerated | June 3, 2014 |
| Last updated | July 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | M-17334 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.