Diagnostic Imaging Service Of Idaho

LBN: Diagnostic Imaging Service Of Idaho
Diagnostic Imaging Service Of Idaho is an health care organization with primary practice located at 1951 Bench Rd Suite F, Pocatello ID 83201-2073. The organization recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiography, Ambulatory Health Care Facilities / Radiology, Mobile. Technologists, Technicians & Other Technical Service Providers / Radiography is the primary health care specialty. Diagnostic Imaging Service Of Idaho can be contacted via phone (208) 237-0977, or through Everson, James Jay via phone (208) 237-0977.

Contact Information

Primary practice address
1951 Bench Rd Suite F Pocatello ID 83201-2073
Phone: (208) 237-0977
Fax: (208) 237-0985
Website:
Map and Directions
Authorized official contact:
Name: Everson, James Jay Registered Diagnostic Medical Sonographer (RDMS)
Phone: (208) 237-0977

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X

Profile Details

NPI number 1508875360
LBN Legal business name Diagnostic Imaging Service Of Idaho
DBA Doing business as
Authorized official Everson, James Jay Registered Diagnostic Medical Sonographer (RDMS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2006
Last updated Jun 18th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508875360 NPPES
Idaho MEDICAID 804301300

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