NPI 1740216175 · live from the CMS NPI Registry
Boise Radiology Group PLLC
Radiology, Diagnostic Radiology in Boise, ID. National Provider Identifier 1740216175, active.
NPI record
| NPI | 1740216175 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 620 W Hays St, Boise, ID 83702 |
| Practice phone | 208-381-2094 |
| Mailing address | Po Box 1616, Evansville, IN 47706 |
| Enumerated | June 25, 2006 |
| Last updated | March 4, 2024 |
| Authorized official | Lisa Smith, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| 2085N0700X | — | |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.