IMAGING CENTER OF IDAHO, LLC - NPI 1801090204 - Clinic/Center in Caldwell, ID

Q: What is Imaging Center Of Idaho, LLC's NPI number?

The NPI number for Imaging Center Of Idaho, LLC is 1801090204. It was assigned to this organization in the NPPES registry on June 12, 2007.

Q: What is Imaging Center Of Idaho, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

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About Imaging Center Of Idaho, Llc NPPES

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

IMAGING CENTER OF IDAHO, LLC (NPI 1801090204) is a healthcare organization registered as a radiology in Caldwell, Idaho and active in the NPI registry since June 2007. The organization lists Gregory F. Clark, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801090204

Entity TypeOrganization

Primary Taxonomy261QR0200X

Legal Business NameIMAGING CENTER OF IDAHO, LLC

Location Address4519 ENTERPRISE WYCaldwell, ID 83605-9999

Mailing Address4519 Enterprise WayCaldwell, ID 83605-9999 · (208) 455-7482 · Fax (208) 455-7538

Phone(208) 455-7482

Fax(208) 455-7538

Organization SubpartNo

Authorized OfficialGregory F. ClarkCeo · (208) 629-6235

Enumeration DateJune 12, 2007

Last NPPES UpdateNovember 8, 2007

✔ NPI 1801090204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities

Taxonomy Code261QR0200X

Also ListedRadiologic Technologist · Bone DensitometryTaxonomy 2471B0102X

Also ListedRadiologic Technologist · Computed TomographyTaxonomy 2471C3401X

Also ListedRadiologic Technologist · RadiographyTaxonomy 2471C3402X

Also ListedRadiologic Technologist · Magnetic Resonance ImagingTaxonomy 2471M1202X

Also ListedRadiologic Technologist · MammographyTaxonomy 2471M2300X

Also ListedRadiologic Technologist · SonographyTaxonomy 2471S1302X

Also ListedClinic/Center · Magnetic Resonance Imaging (MRI)Taxonomy 261QM1200X

4519 ENTERPRISE WY, Caldwell, ID 83605

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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 Imaging Center Of Idaho, LLC's NPI number?

The NPI number for Imaging Center Of Idaho, LLC is 1801090204. It was assigned to this organization in the NPPES registry on June 12, 2007.

Where is Imaging Center Of Idaho, LLC located?

Imaging Center Of Idaho, LLC is located at 4519 Enterprise Wy, Caldwell, ID 83605. The listed phone number is (208) 455-7482.

What is Imaging Center Of Idaho, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

What insurance does Imaging Center Of Idaho, LLC accept?

Health plans from Moda Health Plan, Inc. list Imaging Center Of Idaho, 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 Imaging Center Of Idaho, LLC was last updated on November 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.