INTERMOUNTAIN MEDICAL IMAGING LLC
NPI 1326247511
Radiology - Diagnostic Radiology in Eagle, ID

NPI Status: Active since July 17, 2007

Contact Information

323 E RIVERSIDE DR
SUITE 108
EAGLE, ID
ZIP 83616
Phone: (208) 367-7510

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance
  • CLIA Number: 13D2050494
  • CLIA Cert. Type: Other - RADIOLOGY CLINIC
  • CLIA Exp. Date: 11-29-2026

About INTERMOUNTAIN MEDICAL IMAGING LLC

This page provides the complete NPI Profile along with additional information for Intermountain Medical Imaging Llc, a provider established in Eagle, Idaho operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1326247511 assigned on July 2007. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Wayne Baldwin (Executive Director)

NPI
1326247511
Provider Name
INTERMOUNTAIN MEDICAL IMAGING LLC
Entity Type
Organization
Location Address
323 E RIVERSIDE DR SUITE 108 EAGLE, ID 83616
Location Phone
(208) 367-7510
Mailing Address
877 W MAIN ST STE 603 BOISE, ID 83702
Mailing Phone
(208) 954-8175
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2007
Last Update Date
10-31-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WAYNE BALDWIN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(208) 384-3060

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D2050494
Facility Type
Other - RADIOLOGY CLINIC
Certificate Effective Date
November 30, 2024
Certificate Expiration Date
November 29, 2026
Laboratory Director
WILLIAM L. TAYLOR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Intermountain Medical Imaging Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1326247511, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
2
Doubled → 4
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 4 + 6 + 4 + 4 + 1 + 4 + 5 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1326247511.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Allergy & Immunology (Allergy)
323 E RIVERSIDE DR, STE 234
EAGLE, ID 83616
323 E RIVERSIDE DR, SUITE 234
EAGLE, ID 83616
Emergency Medicine
323 E RIVERSIDE DR
EAGLE, ID 83616
Emergency Medicine
323 E RIVERSIDE DR
EAGLE, ID 83616
General Acute Care Hospital
323 E RIVERSIDE DR
EAGLE, ID 83616
Pharmacy (Community/Retail Pharmacy)
323 E RIVERSIDE DR, SUITE 120
EAGLE, ID 83616
Emergency Medicine
323 E RIVERSIDE DR
EAGLE, ID 83616
Emergency Medicine
323 E RIVERSIDE DR
EAGLE, ID 83616
Physical Therapist
323 E RIVERSIDE DR, STE 124
EAGLE, ID 83616

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326247511, enumerated as an "organization" on July 17, 2007.

The provider is located at 323 E RIVERSIDE DR SUITE 108 EAGLE, ID 83616 and the phone number is (208) 367-7510.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: PacificSource Health Plans. Please consult your insurance carrier or call the provider to verify.