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INTERMOUNTAIN MEDICAL IMAGING LLC
NPI 1669423679
Radiology - Diagnostic Radiology in Boise, ID

Active since May 15, 2006
927 W MYRTLE ST, BOISE, ID 83702(208) 367-7510(208) 367-6367 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 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 1669423679) is a healthcare organization registered as a diagnostic radiology in Boise, Idaho and active in the NPI registry since May 2006. The organization lists Wayne Baldwin, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1669423679
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameINTERMOUNTAIN MEDICAL IMAGING LLC
Location Address927 W MYRTLE STBoise, ID 83702-7061
Mailing Address877 W Main St Ste 603Boise, ID 83702-6070 · (208) 954-8175 · Fax (208) 384-9023
Phone(208) 367-7510
Fax(208) 367-6367
Organization SubpartNo
Authorized OfficialWayne BaldwinExecutive Director · (208) 384-9060
Enumeration DateMay 15, 2006
Last NPPES UpdateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
✔ NPI 1669423679 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.
927 W MYRTLE ST, Boise, ID 83702
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Other Identifiers 1

Medicaid806456500ID

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

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

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 1669423679. It was assigned to this organization in the NPPES registry on May 15, 2006.

Where is Intermountain Medical Imaging LLC located?

Intermountain Medical Imaging LLC is located at 927 W Myrtle St, Boise, ID 83702. The listed phone number is (208) 367-7510.

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.

What insurance does Intermountain Medical Imaging LLC accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans 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 October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.