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TETON MRI OF IDAHO FALLS
NPI 1053305144
Clinic/Center - Radiology in Idaho Falls, ID

Active since September 06, 2005
2060 S WOODRUFF AVE, IDAHO FALLS, ID 83404(208) 552-0828(208) 552-0829 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Teton Mri Of Idaho Falls NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TETON MRI OF IDAHO FALLS (NPI 1053305144) is a healthcare organization registered as a radiology in Idaho Falls, Idaho and active in the NPI registry since September 2005. The organization lists Bonnie C. Gray, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1053305144
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameTETON MRI OF IDAHO FALLS
Location Address2060 S WOODRUFF AVEIdaho Falls, ID 83404-6396
Mailing Address2060 S Woodruff AveIdaho Falls, ID 83404-6396 · (208) 552-0828 · Fax (208) 552-0829
Phone(208) 552-0828
Fax(208) 552-0829
Organization SubpartNo
Authorized OfficialBonnie C. GrayAdministrative Assistant · (208) 552-0828
Enumeration DateSeptember 6, 2005
Last NPPES UpdateJuly 10, 2007
✔ NPI 1053305144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
2060 S WOODRUFF AVE, Idaho Falls, ID 83404
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLY ZOE MD
Pain Medicine (Interventional Pain Medicine)
2060 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 523-7246
DR. CHRISTIAN BECKER MD
Pain Medicine (Interventional Pain Medicine)
2060 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 523-7246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teton Mri Of Idaho Falls's NPI number?

The NPI number for Teton Mri Of Idaho Falls is 1053305144. It was assigned to this organization in the NPPES registry on September 6, 2005.

Where is Teton Mri Of Idaho Falls located?

Teton Mri Of Idaho Falls is located at 2060 S Woodruff Ave, Idaho Falls, ID 83404. The listed phone number is (208) 552-0828.

What is Teton Mri Of Idaho Falls's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Teton Mri Of Idaho Falls was last updated on July 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.