INTERMOUNTAIN DIAGNOSTICS, INC.
NPI 1154429058
Specialist/Technologist Cardiovascular - Sonography in Boise, ID

Active since September 21, 2006
200 N 4TH ST, SUITE 15, BOISE, ID 83702(208) 331-0436(208) 424-8501 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Intermountain Diagnostics, Inc. NPPES

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

INTERMOUNTAIN DIAGNOSTICS, INC. (NPI 1154429058) is a healthcare organization registered as a sonography in Boise, Idaho and active in the NPI registry since September 2006. The organization lists L. Kathleen Cammack, Billing Agent, as its authorized official.

NPPES Registry Identity

NPI1154429058
Entity TypeOrganization
Primary Taxonomy246XS1301X
Legal Business NameINTERMOUNTAIN DIAGNOSTICS, INC.
Location Address200 N 4TH ST, SUITE 15Boise, ID 83702-6001
Mailing Address200 N 4th St, Suite 15Boise, ID 83702-6001 · (208) 331-0436 · Fax (208) 424-8501
Fax(208) 424-8501
Organization SubpartNo
Authorized OfficialL. Kathleen CammackBilling Agent · (208) 337-4254
Enumeration DateSeptember 21, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1154429058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist Cardiovascular · SonographyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246XS1301X
License Licensed in ID · NONE GIVEN IN IDAHO
200 N 4TH ST, Boise, ID 83702

Other Identifiers 4

Other000010017912ID · Blue Shield
Other1538377ID · United Mine Workers
Other170283ID · Omap (oregon Medical)
Other8D244ID · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Acupuncturist
200 N 4TH ST, SUITE 15
BOISE, ID 83702
Specialist/Technologist Cardiovascular (Sonography)
200 N 4TH ST, SUITE 15
BOISE, ID 83702
Counselor (Mental Health)
200 N 4TH ST, SUITE 205B
BOISE, ID 83702

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 Intermountain Diagnostics, Inc.'s NPI number?

The NPI number for Intermountain Diagnostics, Inc. is 1154429058. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Intermountain Diagnostics, Inc. located?

Intermountain Diagnostics, Inc. is located at 200 N 4th St Suite 15, Boise, ID 83702. The listed phone number is (208) 331-0436.

What is Intermountain Diagnostics, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist/Technologist Cardiovascular, specializing in Sonography, with taxonomy code 246XS1301X.

When was this NPI record last updated?

The NPPES record for Intermountain Diagnostics, Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.