Imaging Center Of Idaho, Llc in Caldwell - Radiology

Imaging Center Of Idaho, Llc - NPI 1801090204

Imaging Center Of Idaho, Llc is a Radiology in Caldwell, Idaho. Imaging Center Of Idaho, Llc practices all healthcare services and medical treatments related to Radiology. The NPI Number for Imaging Center Of Idaho, Llc is 1801090204. The last update date is 2007-11-08.

Imaging Center Of Idaho, Llc's current location address is 4519 Enterprise Way, Caldwell, Idaho. You can contact this provider via phone number 2084557482 and fax number 2084557538. The mailing address for Imaging Center Of Idaho, Llc is 4519 Enterprise Way, Caldwell, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Imaging Center Of Idaho, Llc
Address 4519 Enterprise Way, Caldwell, Idaho
Phone Number 2084557482
Fax Number 2084557538
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Clark F. Gregory
Credentials B.S., RT,
Telephone Number 2086296235

NPI Number Detail

NPI Number 1801090204
Provider Enumeration Date 2007-06-12
Last Updated Date 2007-11-08

Provider Mailing Address Detail

Address 4519 Enterprise Way
City Caldwell
State Idaho (ID)
Post Code 836059999
Phone Number 2084557482
Fax Number 2084557538

Provider's Primary Taxonomy Detail

Speciality Radiology
Taxonomy 261Qr0200X
Definition:
Takes images of the body using radiologic techniques to diagnose disease.

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FAQs about Imaging Center Of Idaho, Llc

What is the unique identifier code issued to Imaging Center Of Idaho, Llc by the Centers for Medicare & Medicaid Services?

The Imaging Center Of Idaho, Llc has been assigned the NPI (National Provider Identifier) 1801090204. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Imaging Center Of Idaho, Llc's facilities are geographically located?

The facilities of Imaging Center Of Idaho, Llc are physically situated at the following location: 4519 Enterprise Way, Caldwell, ID, 836059999.

What is the area of specialization for Imaging Center Of Idaho, Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Imaging Center Of Idaho, 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 originally issue the 1801090204 to Imaging Center Of Idaho, Llc?

The Centers for Medicare & Medicaid Services originally issued the 1801090204 to Imaging Center Of Idaho, Llc on 2007-06-12.

As of what date were the details pertaining to Imaging Center Of Idaho, Llc last refreshed?

The information related to the Imaging Center Of Idaho, Llc, including its address, specialty, and other relevant details, was last updated on 2007-11-08.

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