NPI 1063540136
Twin Falls Imaging & Diagnostic Center LLC
Practice location
- Address
- 1330 Filer Ave E, Twin Falls, ID 83301-4119
- Phone
- (208) 732-1205
- Fax
- (208) 736-2413
- Mailing address
- 562 Shoup Ave W, Twin Falls, ID 83301-5029
Authorised official
- Name
- Frederick L Surbaugh
- Title
- Owner
- Phone
- (208) 732-1205
Registered specialties
Clinic/Center
Primary
Registry record
- NPI
- 1063540136
- Entity type
- Organization
- NPI issued
- 1 Mar 2007
- Record last updated
- 22 Aug 2020
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.