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MOUNTAIN TELERAD, PLLC
NPI 1821280371
Radiologic Technologist in Caldwell, ID

Active since August 17, 2007
4519 ENTERPRISE WAY, CALDWELL, ID 83605(208) 455-7482(208) 455-7538 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountain Telerad, Pllc NPPES

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

MOUNTAIN TELERAD, PLLC (NPI 1821280371) is a healthcare organization registered as a radiologic technologist in Caldwell, Idaho and active in the NPI registry since August 2007. The organization lists Micheal Brent Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1821280371
Entity TypeOrganization
Primary Taxonomy247100000X
Legal Business NameMOUNTAIN TELERAD, PLLC
Location Address4519 ENTERPRISE WAYCaldwell, ID 83605
Mailing Address141 Victor Gust DrMountain Home, ID 83647-1654 · (208) 580-9524
Phone(208) 455-7482
Fax(208) 455-7538
Organization SubpartNo
Authorized OfficialMicheal Brent JohnsonOwner · (208) 455-7482
Enumeration DateAugust 17, 2007
✔ NPI 1821280371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247100000X
Definition
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
4519 ENTERPRISE WAY, Caldwell, ID 83605
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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

Other Providers at the Same Location NPPES 3

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

TETON RADIOLOGY CALDWELL
Radiology (Diagnostic Radiology)
4519 ENTERPRISE WAY
CALDWELL, ID 83605
Canyon County (208) 454-0742
DR. CHRISTOPHER JAMES MALCOM D.O.
Radiology (Diagnostic Radiology)
4519 ENTERPRISE WAY
CALDWELL, ID 83605
Canyon County (208) 455-7482
IMAGING CENTER OF IDAHO, LLC
Clinic/Center (Radiology)
4519 ENTERPRISE WAY
CALDWELL, ID 83605
Canyon County (208) 455-7482

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 Mountain Telerad, PLLC's NPI number?

The NPI number for Mountain Telerad, PLLC is 1821280371. It was assigned to this organization in the NPPES registry on August 17, 2007.

Where is Mountain Telerad, PLLC located?

Mountain Telerad, PLLC is located at 4519 Enterprise Way, Caldwell, ID 83605. The listed phone number is (208) 455-7482.

What is Mountain Telerad, PLLC's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

When was this NPI record last updated?

The NPPES record for Mountain Telerad, PLLC was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.