Organization · Type 2 NPI

Idaho Medical Imaging, LLC

Diagnostic Radiology Physician · Pocatello, ID

NPI number 1770698482 Active

Practice location

444 Hospital Way Ste 611
Pocatello, ID 83201-2744

Mailing address

PO Box 2580
Pocatello, ID 83206-2580

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 1770698482

Idaho Medical Imaging, LLC's National Provider Identifier is 1770698482, issued on Aug 20, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Pocatello, ID. The record was last updated on Nov 28, 2007.