Organization · Type 2 NPI

Intermountain Medical Imaging LLC

Diagnostic Radiology Physician · Boise, ID

NPI number 1669423679 Active

Practice location

927 W Myrtle St
Boise, ID 83702-7061

Call (208) 367-7510 Map

Fax (208) 367-6367

Mailing address

877 W Main St Ste 603
Boise, ID 83702-6070

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 1669423679

Intermountain Medical Imaging LLC's National Provider Identifier is 1669423679, issued on May 15, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boise, ID. The record was last updated on Oct 17, 2026.