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IDAHO FACIAL IMAGING LLC
NPI 1437178399
Clinic/Center - Radiology in Boise, ID

Active since July 19, 2006
8119 USTICK RD, SUITE 101, BOISE, ID 83704(208) 514-4740(208) 376-7012 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Idaho Facial Imaging Llc NPPES

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

IDAHO FACIAL IMAGING LLC (NPI 1437178399) is a healthcare organization registered as a radiology in Boise, Idaho and active in the NPI registry since July 2006. The organization lists Braden M Stauts, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1437178399
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameIDAHO FACIAL IMAGING LLC
Location Address8119 USTICK RD, SUITE 101Boise, ID 83704-5754
Mailing Address8119 Ustick Rd, Suite 101Boise, ID 83704-5754 · (208) 514-4740 · Fax (208) 376-7012
Phone(208) 514-4740
Fax(208) 376-7012
Organization SubpartNo
Authorized OfficialBraden M StautsOwner/partner · (208) 514-4740
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1437178399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
License✔ Licensed in ID · 4-D-2095
8119 USTICK RD, Boise, ID 83704
Open in Google Maps ↗

Other Identifiers 2

Other000010156829ID · Regence Blue Shield-medic
Other000010156827ID · Regence Blue Shield-denta

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.

DR. JAMISON ROSS SPENCER D.M.D.
Dentist (General Practice)
8119 USTICK RD
BOISE, ID 83704
Ada County (205) 376-3600
ROBERT OLSON JR. DDS
Dentist (Endodontics)
8119 USTICK RD
BOISE, ID 83704
Ada County (208) 376-3600

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 Idaho Facial Imaging LLC's NPI number?

The NPI number for Idaho Facial Imaging LLC is 1437178399. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Idaho Facial Imaging LLC located?

Idaho Facial Imaging LLC is located at 8119 Ustick Rd Suite 101, Boise, ID 83704. The listed phone number is (208) 514-4740.

What is Idaho Facial Imaging LLC'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 Idaho Facial Imaging LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.