Mountain Telerad, Pllc

LBN: Mountain Telerad, Pllc
Mountain Telerad, Pllc is an health care organization with primary practice located at 4519 Enterprise Way , Caldwell ID 83605. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as the primary health care specialty. Mountain Telerad, Pllc can be contacted via phone (208) 455-7482, or through Johnson, Micheal Brent via phone (208) 455-7482.

Contact Information

Primary practice address
4519 Enterprise Way Caldwell ID 83605
Phone: (208) 455-7482
Fax: (208) 455-7538
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Micheal Brent Doctor of Osteopathy (DO)
Phone: (208) 455-7482

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X

Profile Details

NPI number 1821280371
LBN Legal business name Mountain Telerad, Pllc
DBA Doing business as
Authorized official Johnson, Micheal Brent Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2007
Last updated Aug 17th, 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.

Request for update

Popular Providers