NPI 1962015776 · live from the CMS NPI Registry
Innovative Medical Imaging, PLLC
Radiology, Diagnostic Radiology in Twin Falls, ID. National Provider Identifier 1962015776, active.
NPI record
| NPI | 1962015776 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 512 Pole Line Rd Ste 1, Twin Falls, ID 83301 |
| Practice phone | 208-735-5555 |
| Mailing address | Po Box 1614, Evansville, IN 47706 |
| Enumerated | August 31, 2020 |
| Last updated | February 12, 2024 |
| Authorized official | Stephan Thiede, Authorized Official |
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.