Innovative Medical Imaging, Pllc

LBN: Innovative Medical Imaging, Pllc
Innovative Medical Imaging, Pllc is an health care organization with primary practice located at 512 Pole Line Rd Ste 1 , Twin Falls ID 83301-6367. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Innovative Medical Imaging, Pllc can be contacted via phone (208) 735-5555, or through Thiede, Stephan G via phone (541) 334-7550.

Contact Information

Primary practice address
512 Pole Line Rd Ste 1 Twin Falls ID 83301-6367
Fax: (208) 735-5556
Website:
Authorized official contact:
Name: Thiede, Stephan G Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1962015776
LBN Legal business name Innovative Medical Imaging, Pllc
DBA Doing business as
Authorized official Thiede, Stephan G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2020
Last updated Feb 12th, 2024 - about 10 months 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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