DIAGNOSTIC IMAGING SERVICE OF IDAHO
NPI 1508875360
Radiologic Technologist - Radiography in Pocatello, ID

Q: What is Diagnostic Imaging Service Of Idaho's NPI number?

The NPI number for Diagnostic Imaging Service Of Idaho is 1508875360. It was assigned to this organization in the NPPES registry on August 7, 2006.

Q: What is Diagnostic Imaging Service Of Idaho's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Radiography, with taxonomy code 2471C3402X.

Active since August 07, 2006

1951 BENCH RD, SUITE F, POCATELLO, ID 83201(208) 237-0977(208) 237-0985 Get Directions Write a Review

NPPES record last updated: June 18, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Diagnostic Imaging Service Of Idaho NPPES

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

DIAGNOSTIC IMAGING SERVICE OF IDAHO (NPI 1508875360) is a healthcare organization registered as a radiography in Pocatello, Idaho and active in the NPI registry since August 2006. The organization lists James Jay Everson, Owner, as its authorized official.

NPPES Registry Identity

NPI1508875360

Entity TypeOrganization

Primary Taxonomy2471C3402X

Legal Business NameDIAGNOSTIC IMAGING SERVICE OF IDAHO

Location Address1951 BENCH RD, SUITE FPocatello, ID 83201-2073

Mailing Address1951 Bench Rd, Suite FPocatello, ID 83201-2073 · (208) 237-0977 · Fax (208) 237-0985

Phone(208) 237-0977

Fax(208) 237-0985

Organization SubpartNo

Authorized OfficialJames Jay EversonOwner · (208) 237-0977

Enumeration DateAugust 7, 2006

Last NPPES UpdateJune 18, 2012

✔ NPI 1508875360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiologic Technologist · RadiographyTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code2471C3402X

Definition

A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.

Also ListedClinic/Center · Radiology, MobileTaxonomy 261QR0208X

1951 BENCH RD, Pocatello, ID 83201

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Other Identifiers 2

Medicaid804301300ID

Medicare ID-Type Unspecified1790019ID · Provider #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diagnostic Imaging Service Of Idaho is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateIdahoEnrollment IDO20071030000240Non-DME Part B · Independent Diagnostic Testing Facility (IDTF)Due dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

309 services78 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

159 services156 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

99 services99 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

98 services98 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) 93017

An exercise or drug-induced heart stress test with an ECG checks how your heart responds to stress. You'll either exercise on a treadmill or be given medication to stress your heart. An ECG then captures your heart's activity, helping detect any issues.

98 services98 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

81 services81 patients

Other Providers at the Same Location NPPES 19

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

NORTH LIGHT EYECARE PLLC

Optometrist

1951 BENCH RD
POCATELLO, ID 83201

Bannock County (208) 681-5972

ZACHARY BRYANT WARNOCK M.D.

Family Medicine

1951 BENCH RD, SUITE B
POCATELLO, ID 83201

Bannock County (208) 238-1000

NICOLETTE HAMPTON NP-C

Nurse Practitioner (Family)

1951 BENCH RD, STE B
POCATELLO, ID 83201

Bannock County (208) 238-1000

FAMILY PRACTICE GROUP, P.A.

Family Medicine

1951 BENCH RD, SUITE B
POCATELLO, ID 83201

Bannock County (208) 238-1000

DNA WITH TINA LLC

Nurse Practitioner (Women's Health)

1951 BENCH RD
POCATELLO, ID 83201

Bannock County (208) 240-4785

BRANDON C MICKELSEN D.O.

Family Medicine

1951 BENCH RD, SUITE B
POCATELLO, ID 83201

Bannock County (208) 238-1000

HIGHLAND PHYSICAL THERAPY LLC

Physical Therapist

1951 BENCH RD, SUITE E
POCATELLO, ID 83201

Bannock County (208) 237-2080

MANDY SMITH PTA

Physical Therapy Assistant

1951 BENCH RD, SUITE E
POCATELLO, ID 83201

Bannock County (208) 237-2080

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 Diagnostic Imaging Service Of Idaho's NPI number?

The NPI number for Diagnostic Imaging Service Of Idaho is 1508875360. It was assigned to this organization in the NPPES registry on August 7, 2006.

Where is Diagnostic Imaging Service Of Idaho located?

Diagnostic Imaging Service Of Idaho is located at 1951 Bench Rd Suite F, Pocatello, ID 83201. The listed phone number is (208) 237-0977.

What is Diagnostic Imaging Service Of Idaho's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Radiography, with taxonomy code 2471C3402X.

Is Diagnostic Imaging Service Of Idaho enrolled in Medicare?

Yes. Diagnostic Imaging Service Of Idaho is registered in the Medicare PECOS enrollment system.

When is Diagnostic Imaging Service Of Idaho's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Independent Diagnostic Testing Facility (IDTF)) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Diagnostic Imaging Service Of Idaho accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Diagnostic Imaging Service Of Idaho as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diagnostic Imaging Service Of Idaho was last updated on June 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.