Imaging Center Of Idaho, Llc

LBN: Imaging Center Of Idaho, Llc
Imaging Center Of Idaho, Llc is an health care organization with primary practice located at 4519 Enterprise Wy , Caldwell ID 83605-9999. The organization recently has 8 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Bone Densitometry, Technologists, Technicians & Other Technical Service Providers / Computed Tomography, Technologists, Technicians & Other Technical Service Providers / Radiography, Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging, Technologists, Technicians & Other Technical Service Providers / Mammography, Technologists, Technicians & Other Technical Service Providers / Sonography, Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Radiology is the primary health care specialty. Imaging Center Of Idaho, Llc can be contacted via phone (208) 455-7482, or through Clark, Gregory F. via phone (208) 629-6235.

Contact Information

Primary practice address
4519 Enterprise Wy Caldwell ID 83605-9999
Phone: (208) 455-7482
Fax: (208) 455-7538
Website:
Map and Directions
Authorized official contact:
Name: Clark, Gregory F. B.S., RT, R
Phone: (208) 629-6235

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Bone Densitometry 2471B0102X
Technologists, Technicians & Other Technical Service Providers / Computed Tomography 2471C3401X
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X
Technologists, Technicians & Other Technical Service Providers / Mammography 2471M2300X
Technologists, Technicians & Other Technical Service Providers / Sonography 2471S1302X
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1801090204
LBN Legal business name Imaging Center Of Idaho, Llc
DBA Doing business as
Authorized official Clark, Gregory F. B.S., RT, R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2007
Last updated Nov 8th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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