NPI 1154429058

Intermountain Diagnostics, INC.

Organisation Sonography Specialist/Technologist Cardiovascular Boise, ID

Practice location

Address: 200 N 4th St Suite 15, Boise, ID 83702-6001
Phone: (208) 331-0436
Fax: (208) 424-8501

Authorised official

Name: L. Kathleen Cammack
Title: Billing Agent
Phone: (208) 337-4254

Registered specialties

Sonography Specialist/Technologist Cardiovascular Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246XS1301X Licence NONE GIVEN IN IDAHO (ID)

Other Specialist/Technologist Cardiovascular providers in Idaho →

Registry record

NPI: 1154429058
Entity type: Organization
NPI issued: 21 Sep 2006
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.