NPI 1770698482 · live from the CMS NPI Registry
Idaho Medical Imaging, LLC
Radiology, Diagnostic Radiology in Pocatello, ID. National Provider Identifier 1770698482, active.
NPI record
| NPI | 1770698482 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 444 Hospital Way Ste 611, Pocatello, ID 83201 |
| Practice phone | 208-233-3000 |
| Mailing address | Po Box 2580, Pocatello, ID 83206 |
| Enumerated | August 20, 2006 |
| Last updated | November 28, 2007 |
| Authorized official | Scott Dean, Business Manager |
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.