Intermountain Medical Imaging Llc

LBN: Intermountain Medical Imaging Llc
Intermountain Medical Imaging Llc is an health care organization with primary practice located at 927 W Myrtle St , Boise ID 83702-7061. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Intermountain Medical Imaging Llc can be contacted via phone (208) 367-7510, or through Baldwin, Wayne via phone (208) 384-9060.

Contact Information

Primary practice address
927 W Myrtle St Boise ID 83702-7061
Phone: (208) 367-7510
Fax: (208) 367-6367
Website:
Map and Directions
Authorized official contact:
Name: Baldwin, Wayne
Phone: (208) 384-9060

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1669423679
LBN Legal business name Intermountain Medical Imaging Llc
DBA Doing business as
Authorized official Baldwin, Wayne
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2006
Last updated Oct 31st, 2023 - about 3 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 1669423679 NPPES
Idaho MEDICAID 806456500

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