Intermountain Diagnostics, Inc.

LBN: Intermountain Diagnostics, Inc.
Intermountain Diagnostics, Inc. is an health care organization with primary practice located at 200 N 4Th St Suite 15, Boise ID 83702-6001. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Sonography, which is considered as the primary health care specialty. Intermountain Diagnostics, Inc. can be contacted via phone (208) 331-0436, or through Cammack, L. Kathleen via phone (208) 337-4254.

Contact Information

Primary practice address
200 N 4Th St Suite 15 Boise ID 83702-6001
Phone: (208) 331-0436
Fax: (208) 424-8501
Website:
Map and Directions
Authorized official contact:
Name: Cammack, L. Kathleen
Phone: (208) 337-4254

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Sonography 246XS1301X NONE GIVEN IN IDAHO Idaho

Profile Details

NPI number 1154429058
LBN Legal business name Intermountain Diagnostics, Inc.
DBA Doing business as
Authorized official Cammack, L. Kathleen
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 22nd, 2020 - about 6 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 1154429058 NPPES
Idaho Other 000010017912 BLUE SHIELD
Idaho Other 170283 BLUE SHIELD
Idaho Other 8D244 BLUE SHIELD
Idaho Other 1538377 BLUE SHIELD

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