INTERMOUNTAIN MEDICAL IMAGING LLC
NPI 1598524696
Radiology - Diagnostic Radiology in Meridian, ID

Active since March 19, 2024CLIA Certified · 2 labs
875 S VANGUARD WAY STE 100, MERIDIAN, ID 83642(208) 954-8100(208) 947-3322 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Intermountain Medical Imaging Llc NPPES

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

INTERMOUNTAIN MEDICAL IMAGING LLC (NPI 1598524696) is a healthcare organization registered as a diagnostic radiology in Meridian, Idaho and active in the NPI registry since March 2024. The organization holds 2 active CLIA laboratory certificates and lists Norman Hames, Ceo, as its authorized official.

NPPES Registry Identity

NPI1598524696
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameINTERMOUNTAIN MEDICAL IMAGING LLC
Location Address875 S VANGUARD WAY STE 100Meridian, ID 83642-8541
Mailing AddressPo Box 4568Portland, OR 97208-4568 · (208) 991-5212
Fax(208) 947-3322
Organization SubpartNo
Authorized OfficialNorman HamesCeo · (585) 218-8015
Enumeration DateMarch 19, 2024
Last NPPES UpdateAugust 19, 2026
NPPES CertifiedAugust 19, 2026
✔ NPI 1598524696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
875 S VANGUARD WAY STE 100, Meridian, ID 83642

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Intermountain Medical Imaging Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

44

Medicare enrollment records show 44 clinicians reassign Medicare billing to Intermountain Medical Imaging LLC, which bills Medicare for the services they deliver. Of these, 30 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Diagnostic Radiology42
Nurse Practitioner2

Nearest to this location (20)

See all 44
Diagnostic Radiology
NPI 1013964295
1055 N CURTIS RD
Boise, ID 83706
(208) 367-2161
✔ PECOS✔ Accepts Medicare8.9 mi
Diagnostic Radiology
NPI 1003306754
1055 N CURTIS RD
Boise, ID 83706
(208) 367-2121
✔ PECOS✔ Accepts Medicare8.9 mi
Diagnostic Radiology
NPI 1740623966
1055 N CURTIS RD
Boise, ID 83706
(208) 954-8070
✔ PECOS✔ Accepts Medicare8.9 mi
Diagnostic Radiology
NPI 1306895016
1055 N CURTIS RD GEM STATE RADIOLOGY
Boise, ID 83706
(208) 367-8855
✔ PECOS✔ Accepts Medicare8.9 mi
Diagnostic Radiology
NPI 1902853435
1055 N CURTIS RD
Boise, ID 83706
(208) 367-2161
✔ PECOS✔ Accepts Medicare8.9 mi
Diagnostic Radiology
NPI 1811944341
1055 N CURTIS RD
Boise, ID 83706
(208) 367-2161
✔ PECOS✔ Accepts Medicare8.9 mi
Diagnostic Radiology
NPI 1962443176
1055 N CURTIS RD
Boise, ID 83706
(208) 367-2161
✔ PECOS✔ Accepts Medicare8.9 mi
Diagnostic Radiology
NPI 1063801678
1055 N CURTIS RD
Boise, ID 83706
(208) 367-2121
✔ PECOS✔ Accepts Medicare8.9 mi
Diagnostic Radiology
NPI 1265489702
1055 N CURTIS RD
Boise, ID 83706
(208) 367-2161
✔ PECOS8.9 mi
Diagnostic Radiology
NPI 1265660443
1055 N CURTIS ROAD
Boise, ID 83706
(208) 367-2161
✔ PECOS✔ Accepts Medicare8.9 mi
Diagnostic Radiology
NPI 1760825442
1055 N CURTIS RD
Boise, ID 83706
(208) 367-8855
✔ PECOS✔ Accepts Medicare8.9 mi
Diagnostic Radiology
NPI 1720209018
1055 N CURTIS ROAD
Boise, ID 83706
(208) 367-2161
✔ PECOS✔ Accepts Medicare8.9 mi
Diagnostic Radiology
NPI 1033695994
1055 N CURTIS RD
Boise, ID 83706
(208) 954-8070
✔ PECOS✔ Accepts Medicare8.9 mi
Diagnostic Radiology
NPI 1063454122
1055 N CURTIS RD
Boise, ID 83706
(208) 367-2161
✔ PECOS✔ Accepts Medicare8.9 mi
Diagnostic Radiology
NPI 1912205675
1055 N CURTIS RD
Boise, ID 83706
(208) 384-9060
✔ PECOS✔ Accepts Medicare8.9 mi
Diagnostic Radiology
NPI 1639341068
1055 N CURTIS RD
Boise, ID 83706
(208) 367-2161
✔ PECOS✔ Accepts Medicare8.9 mi
Diagnostic Radiology
NPI 1609499656
1055 N CURTIS RD
Boise, ID 83706
(208) 367-2121
✔ PECOS✔ Accepts Medicare8.9 mi
Diagnostic Radiology
NPI 1598939613
1055 N CURTIS RD
Boise, ID 83706
(208) 367-2161
✔ PECOS✔ Accepts Medicare8.9 mi
Nurse Practitioner
NPI 1497296768
1055 N CURTIS RD
Boise, ID 83706
(208) 367-4320
✔ PECOS✔ Accepts Medicare8.9 mi
Nurse Practitioner
NPI 1548784606
999 N CURTIS RD STE 415
Boise, ID 83706
(208) 302-2600
✔ PECOS✔ Accepts Medicare8.9 mi
See all 44 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2302541

Intermountain Medical Imaging LLC · Meridian, ID
Active · expires Apr 10, 2028
CLIA Number13D2302541
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorJohn A. Jackson
Laboratory Phone(208) 954-8100
Laboratory LocationIntermountain Medical Imaging LLC875 S Vanguard Ste 100, Meridian, ID 83642
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D0999409

Intermountain Medical Imaging · Meridian, ID
Active · expires Aug 25, 2028
CLIA Number13D0999409
Laboratory TypeOp Radiology Imaging Ctr
Certificate Effective DateAugust 26, 2026
Certificate Expiration DateAugust 25, 2028
Laboratory DirectorBenjamin K. Hom
Laboratory Phone(208) 954-8030
Laboratory LocationIntermountain Medical Imaging2929 E Magic View Dr, Meridian, ID 83642
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Medical Imaging LLC's NPI number?

The NPI number for Intermountain Medical Imaging LLC is 1598524696. It was assigned to this organization in the NPPES registry on March 19, 2024.

Where is Intermountain Medical Imaging LLC located?

Intermountain Medical Imaging LLC is located at 875 S Vanguard Way Ste 100, Meridian, ID 83642. The listed phone number is (208) 954-8100.

What is Intermountain Medical Imaging LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Intermountain Medical Imaging LLC enrolled in Medicare?

Yes. Intermountain Medical Imaging LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Intermountain Medical Imaging LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 2 Medicare specialties reassign their Medicare billing to Intermountain Medical Imaging LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (42) and Nurse Practitioner (2). Of these, 30 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Intermountain Medical Imaging LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Intermountain Medical Imaging LLC accept?

Health plans from Molina Healthcare, PacificSource Health Plans and Select Health list Intermountain Medical Imaging LLC 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 Intermountain Medical Imaging LLC was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.