Organization · Type 2 NPI
Imaging Center of Idaho, LLC
Radiology Clinic/Center · Caldwell, ID
NPI number
1801090204
Active
Practice location
4519 Enterprise Wy
Caldwell, ID 83605-9999
Fax (208) 455-7538
Mailing address
4519 Enterprise Way
Caldwell, ID 83605-9999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Bone Densitometry Radiologic Technologist | 2471B0102X | None listed |
| Computed Tomography Radiologic Technologist | 2471C3401X | None listed |
| Radiography Radiologic Technologist | 2471C3402X | None listed |
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | None listed |
| Mammography Radiologic Technologist | 2471M2300X | None listed |
| Sonography Radiologic Technologist | 2471S1302X | None listed |
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | None listed |
| Radiology Clinic/Center Primary | 261QR0200X | None listed |
Radiology Clinic/Center: Definition to come...
Other radiology clinic/center providers in Caldwell
About NPI 1801090204
Imaging Center of Idaho, LLC's National Provider Identifier is 1801090204, issued on Jun 12, 2007. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Caldwell, ID. The record was last updated on Nov 8, 2007.