INTERMOUNTAIN MEDICAL IMAGING LLC
NPI 1598524696
Radiology - Diagnostic Radiology in Meridian, ID
- Organization
- Radiology
- Diagnostic Radiology
- CLIA Number: 13D0999409
- CLIA Cert. Type: Other - OP RADIOLOGY IMAGING CTR
- CLIA Exp. Date: 08-25-2026
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 Meridian, Idaho operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1598524696 assigned on March 2024. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 2 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
- 1598524696 Verify this NPI
- Provider Name
- INTERMOUNTAIN MEDICAL IMAGING LLC
- Entity Type
- Organization
- Location Address
- 875 S VANGUARD WAY STE 100 MERIDIAN, ID 83642
- Location Phone
- (208) 954-8100
- Location Fax
- (208) 947-3322
- Mailing Address
- 877 W MAIN ST STE 603 BOISE, ID 83702
- Mailing Phone
- (208) 991-5212
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-19-2024
- Last Update Date
- 03-21-2024
- Code Navigator
Location Map
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.
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
- 13D0999409
- Facility Type
- Other - OP RADIOLOGY IMAGING CTR
- Certificate Effective Date
- August 26, 2024
- Certificate Expiration Date
- August 25, 2026
- Laboratory Director
- BENJAMIN K. HOM
- 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.
Reviews for INTERMOUNTAIN MEDICAL IMAGING LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598524696, enumerated as an "organization" on March 19, 2024.
The provider is located at 875 S VANGUARD WAY STE 100 MERIDIAN, ID 83642 and the phone number is (208) 954-8100.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
