Idaho Facial Imaging Llc in Boise - Radiology
Idaho Facial Imaging Llc - NPI 1437178399
Idaho Facial Imaging Llc is a Radiology in Boise, Idaho. Idaho Facial Imaging Llc practices all healthcare services and medical treatments related to Radiology. The NPI Number for Idaho Facial Imaging Llc is 1437178399. The last update date is 2020-08-22.
Idaho Facial Imaging Llc's current location address is 8119 Ustick Rd, Boise, Idaho. You can contact this provider via phone number 2085144740 and fax number 2083767012. The mailing address for Idaho Facial Imaging Llc is 8119 Ustick Rd, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Facial Imaging Llc |
|---|---|
| Address | 8119 Ustick Rd, Boise, Idaho |
| Phone Number | 2085144740 |
| Fax Number | 2083767012 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PART |
|---|---|
| Authorized Official Name | Stauts M Braden |
| Credentials | DDS |
| Telephone Number | 2085144740 |
NPI Number Detail
| NPI Number | 1437178399 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 8119 Ustick Rd |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837045754 |
| Phone Number | 2085144740 |
| Fax Number | 2083767012 |
Provider's Primary Taxonomy Detail
| Speciality | Radiology |
|---|---|
| Taxonomy | 261Qr0200X |
| Licence No | 4-D-2095 |
|
Definition: Takes images of the body using radiologic techniques to diagnose disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10156829 | ID | REGENCE BLUE SHIELD-MEDIC | |
| 10156827 | ID | REGENCE BLUE SHIELD-DENTA |
Post Comment/ Review Below
What is the unique identification code assigned to Idaho Facial Imaging Llc by the Centers for Medicare & Medicaid Services?
The Idaho Facial Imaging Llc has been issued the NPI (National Provider Identifier) 1437178399. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Idaho Facial Imaging Llc's physical address?
The Idaho Facial Imaging Llc is physically located at 8119 Ustick Rd, in the city of Boise, ID, with the postal code 837045754.
What is the area of specialization for Idaho Facial Imaging Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Idaho Facial Imaging Llc is Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 261Qr0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1437178399 to Idaho Facial Imaging Llc?
The Idaho Facial Imaging Llc received its 1437178399 assignment from the Centers for Medicare & Medicaid Services on 2006-07-19.
When was the Idaho Facial Imaging Llc's information last updated?
The Idaho Facial Imaging Llc's information was last updated on 2020-08-22.