Kootenai Outpatient Imaging
LBN: North Idaho Imaging Center
Kootenai Outpatient Imaging is an health care organization with primary practice located at 700 W Ironwood Dr Suite 110, Coeur D Alene ID 83814-2656. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
North Idaho Imaging Center can be contacted via phone (208) 666-3200, or through Legel, Thomas J via phone (208) 666-3200.
Contact Information
Primary practice address
700 W Ironwood Dr Suite 110
Coeur D Alene ID 83814-2656
Phone: (208) 666-3200
Fax: (208) 666-3217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1457353450 |
|---|---|
| LBN Legal business name | North Idaho Imaging Center |
| DBA Doing business as | Kootenai Outpatient Imaging |
| Authorized official | Legel, Thomas J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Dec 21st, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457353450 | NPPES |
| Idaho | Other | 8J422 | BC ID - PF |
| Idaho | Other | CR0440 | BC ID - PF |
| Idaho | MEDICAID | 7058530 | BC ID - PF |
| Idaho | Other | 86371 | BC ID - PF |
| Idaho | MEDICAID | 002735600 | BC ID - PF |
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