Pocatello Radiology Physicians Of Idaho

LBN: Radiology Physicians Of Idaho
Pocatello Radiology Physicians Of Idaho is an health care organization with primary practice located at 1151 Hospital Way Bldg B , Pocatello ID 83201. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Radiology Physicians Of Idaho can be contacted via phone (208) 233-1187, or through Larsen, Steven A. via phone (208) 233-1187.

Contact Information

Primary practice address
1151 Hospital Way Bldg B Pocatello ID 83201
Phone: (208) 233-1187
Fax: (208) 234-3841
Website:
Map and Directions
Authorized official contact:
Name: Larsen, Steven A. Doctor of Medicine (MD)
Phone: (208) 233-1187

Health care specialties

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

Profile Details

NPI number 1952377459
LBN Legal business name Radiology Physicians Of Idaho
DBA Doing business as Pocatello Radiology Physicians Of Idaho
Authorized official Larsen, Steven A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2006
Last updated Aug 4th, 2014 - about 12 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 1952377459 NPPES
Idaho MEDICAID 002473400

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