NPI 1194969725

Teton Radiology Diagnostic, LLC

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

Body Imaging Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085B0100X

Other Radiology providers in Idaho →

Registry record

NPI: 1194969725
Entity type: Organization
NPI issued: 27 Apr 2009
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.