Teton Nuclear Medicine Service
LBN: Teton Nuclear Medicine Service
Teton Nuclear Medicine Service is an health care organization with primary practice located at 2001 S Woodruff Suite 20, Idaho Falls ID 83404. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy. Allopathic & Osteopathic Physicians / Nuclear Cardiology is the primary health care specialty.
Teton Nuclear Medicine Service can be contacted via phone (208) 525-3201, or through Garcia, Miguel Pena via phone (208) 525-3201.
Contact Information
Primary practice address
2001 S Woodruff Suite 20
Idaho Falls ID 83404
Phone: (208) 525-3201
Fax: (208) 525-8896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | ||
| Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy | 207UN0902X |
Profile Details
| NPI number | 1710072954 |
|---|---|
| LBN Legal business name | Teton Nuclear Medicine Service |
| DBA Doing business as | |
| Authorized official | Garcia, Miguel Pena RADIATION SAFETY OFF |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710072954 | NPPES |
| Other | 10606753 | BLUE SHIELD | |
| Other | 89763 | BLUE SHIELD |
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