TETON RADIOLOGY DIAGNOSTIC, LLC
NPI 1194969725
Radiology - Body Imaging in Idaho Falls, ID

Q: What is Teton Radiology Diagnostic, LLC's NPI number?

The NPI number for Teton Radiology Diagnostic, LLC is 1194969725. It was assigned to this organization in the NPPES registry on April 27, 2009.

Q: What is Teton Radiology Diagnostic, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.

Active since April 27, 2009

2001 S WOODRUFF AVE STE 17, IDAHO FALLS, ID 83404(208) 524-7237 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Teton Radiology Diagnostic, Llc NPPES

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

TETON RADIOLOGY DIAGNOSTIC, LLC (NPI 1194969725) is a healthcare organization registered as a body imaging in Idaho Falls, Idaho and active in the NPI registry since April 2009. The organization lists Michael P Hodel, General Manager, as its authorized official.

NPPES Registry Identity

NPI1194969725

Entity TypeOrganization

Primary Taxonomy2085B0100X

Legal Business NameTETON RADIOLOGY DIAGNOSTIC, LLC

Location Address2001 S WOODRUFF AVE STE 17Idaho Falls, ID 83404-6372

Mailing AddressPo Box 30015, Dept 594Salt Lake City, UT 84130-0015 · (800) 475-6236 · Fax (706) 596-6712

Phone(208) 524-7237

Organization SubpartYesParent: Teton Radiology Diagnositc, Llc

Authorized OfficialMichael P HodelGeneral Manager · (208) 542-5000

Enumeration DateApril 27, 2009

Last NPPES UpdateJanuary 5, 2026

NPPES CertifiedJanuary 5, 2026

✔ NPI 1194969725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians

Taxonomy Code2085B0100X

Definition

A Radiology doctor of Osteopathy that specializes in Body Imaging.

2001 S WOODRUFF AVE STE 17, Idaho Falls, ID 83404

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE

Radiology (Body Imaging)

2001 S WOODRUFF AVE STE 17
IDAHO FALLS, ID 83404

Bonneville County (208) 524-7237

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 Radiology Diagnostic, LLC's NPI number?

The NPI number for Teton Radiology Diagnostic, LLC is 1194969725. It was assigned to this organization in the NPPES registry on April 27, 2009.

Where is Teton Radiology Diagnostic, LLC located?

Teton Radiology Diagnostic, LLC is located at 2001 S Woodruff Ave Ste 17, Idaho Falls, ID 83404. The listed phone number is (208) 524-7237.

What is Teton Radiology Diagnostic, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.

When was this NPI record last updated?

The NPPES record for Teton Radiology Diagnostic, LLC was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.