Teton Mri Of Idaho Falls

LBN: Teton Mri Of Idaho Falls
Teton Mri Of Idaho Falls is an health care organization with primary practice located at 2060 S Woodruff Ave , Idaho Falls ID 83404-6396. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Teton Mri Of Idaho Falls can be contacted via phone (208) 552-0828, or through Gray, Bonnie C. via phone (208) 552-0828.

Contact Information

Primary practice address
2060 S Woodruff Ave Idaho Falls ID 83404-6396
Fax: (208) 552-0829
Website:
Authorized official contact:
Name: Gray, Bonnie C.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1053305144
LBN Legal business name Teton Mri Of Idaho Falls
DBA Doing business as
Authorized official Gray, Bonnie C.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2005
Last updated Jul 10th, 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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