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INNOVATIVE MEDICAL IMAGING, PLLC
NPI 1962015776
Radiology - Diagnostic Radiology in Twin Falls, ID

Active since August 31, 2020
512 POLE LINE RD STE 1, TWIN FALLS, ID 83301(208) 735-5555(208) 735-5556 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 23, 2023, Aug 31, 2020 (2 updates tracked since 2020).

About Innovative Medical Imaging, Pllc NPPES

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

INNOVATIVE MEDICAL IMAGING, PLLC (NPI 1962015776) is a healthcare organization registered as a diagnostic radiology in Twin Falls, Idaho and active in the NPI registry since August 2020. The organization lists Stephan G Thiede, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1962015776
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameINNOVATIVE MEDICAL IMAGING, PLLC
Location Address512 POLE LINE RD STE 1Twin Falls, ID 83301-6367
Mailing AddressPo Box 1614Evansville, IN 47706-0016
Phone(208) 735-5555
Fax(208) 735-5556
Organization SubpartNo
Authorized OfficialStephan G ThiedeAuthorized Official · (541) 334-7550
Enumeration DateAugust 31, 2020
Last NPPES UpdateFebruary 12, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
✔ NPI 1962015776 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.
512 POLE LINE RD STE 1, Twin Falls, ID 83301
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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

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 Innovative Medical Imaging, PLLC's NPI number?

The NPI number for Innovative Medical Imaging, PLLC is 1962015776. It was assigned to this organization in the NPPES registry on August 31, 2020.

Where is Innovative Medical Imaging, PLLC located?

Innovative Medical Imaging, PLLC is located at 512 Pole Line Rd Ste 1, Twin Falls, ID 83301. The listed phone number is (208) 735-5555.

What is Innovative Medical Imaging, PLLC's specialty?

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

What insurance does Innovative Medical Imaging, PLLC accept?

Health plans from Moda Health Plan, Inc. list Innovative Medical Imaging, PLLC 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 Innovative Medical Imaging, PLLC was last updated on February 12, 2024. 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.