NPI 1669423679

Intermountain Medical Imaging LLC

Organisation Diagnostic Radiology Physician Boise, ID

Practice location

Address: 927 W Myrtle St, Boise, ID 83702-7061
Phone: (208) 367-7510
Fax: (208) 367-6367
Mailing address: 877 W Main St STE 603, Boise, ID 83702-6070

Authorised official

Name: Wayne Baldwin
Title: Executive Director
Phone: (208) 384-9060

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X

Other Radiology providers in Idaho →

Registry record

NPI: 1669423679
Entity type: Organization
NPI issued: 15 May 2006
Record last updated: 31 Oct 2023

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.