NPI 1013085604

Teton Radiology Diagnostic a Series of Teton Group Enterprise

Organisation Body Imaging Physician Idaho Falls, ID

Practice location

Address: 2001 S Woodruff Ave STE 17, Idaho Falls, ID 83404-6372
Phone: (208) 524-7237
Mailing address: PO Box 30015 Dept 594, Salt Lake City, UT 84130-0015

Authorised official

Name: Michael P Hodel
Title: General Manager
Phone: (208) 542-5000

Registered specialties (10)

Body Imaging Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085B0100X

Other Radiology providers in Idaho →

Neuroradiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085N0700X

Nuclear Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085N0904X

Pediatric Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085P0229X

Radiation Oncology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0001X

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X

Therapeutic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0203X

Vascular & Interventional Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X

Radiological Physics Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0205X

Diagnostic Ultrasound Physician

Allopathic & Osteopathic Physicians Taxonomy 2085U0001X

Registry record

NPI: 1013085604
Entity type: Organization
NPI issued: 1 Dec 2006
Record last updated: 5 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.