Organization · Type 2 NPI

Intermountain Medical Imaging LLC

Diagnostic Radiology Physician · Meridian, ID

NPI number 1598524696 Active

Practice location

875 S Vanguard Way Ste 100
Meridian, ID 83642-8541

Fax (208) 947-3322

Mailing address

PO Box 4568
Portland, OR 97208-4568

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1598524696

Intermountain Medical Imaging LLC's National Provider Identifier is 1598524696, issued on Mar 19, 2024. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Meridian, ID. The record was last updated on Aug 19, 2026.