Lewis Clark Imaging, Llc

LBN: Lewis Clark Imaging, Llc
Lewis Clark Imaging, Llc is an health care organization with primary practice located at 336 Warner Dr Ste B , Lewiston ID 83501-4441. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Radiology is the primary health care specialty. Lewis Clark Imaging, Llc can be contacted via phone (360) 391-9311, or through Gwost, Ivy via phone (360) 391-9311.

Contact Information

Primary practice address
336 Warner Dr Ste B Lewiston ID 83501-4441
Phone: (360) 391-9311
Fax: (208) 473-7304
Website:
Map and Directions
Authorized official contact:
Name: Gwost, Ivy RVT, RDMS, RDCS
Phone: (360) 391-9311

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1316659899
LBN Legal business name Lewis Clark Imaging, Llc
DBA Doing business as
Authorized official Gwost, Ivy RVT, RDMS, RDCS
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2022
Last updated Jun 12th, 2024 - about 2 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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