Teton Radiology Diagnostic Llc
LBN: Teton Radiology Diagnostic A Series Of Teton Group Enterprise
Teton Radiology Diagnostic Llc is an health care organization with primary practice located at 2001 S Woodruff Ave Ste 17 , Idaho Falls ID 83404-6372. The organization recently has 10 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Radiological Physics, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Body Imaging is the primary health care specialty.
Teton Radiology Diagnostic A Series Of Teton Group Enterprise can be contacted via phone (208) 524-7237, or through Hodel, Michael P via phone (208) 542-5000.
Contact Information
Primary practice address
2001 S Woodruff Ave Ste 17
Idaho Falls ID 83404-6372
Phone: (208) 524-7237
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | ||
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ||
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | ||
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | ||
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ||
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | ||
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ||
| Allopathic & Osteopathic Physicians / Radiological Physics | 2085R0205X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X |
Profile Details
| NPI number | 1013085604 |
|---|---|
| LBN Legal business name | Teton Radiology Diagnostic A Series Of Teton Group Enterprise |
| DBA Doing business as | Teton Radiology Diagnostic Llc |
| Authorized official | Hodel, Michael P |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Nov 20th, 2023 - about last year |
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 | 1013085604 | NPPES |
| Idaho | MEDICAID | 807617900 | |
| Idaho | Other | DF6608 |
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