IMAGING CENTER OF IDAHO, LLC – NPI #1659528511
Clinic/Center

IMAGING CENTER OF IDAHO, LLC is an AHC clinic located in CALDWELL, ID. NPPES has assigned the NPI number 1659528511 to IMAGING CENTER OF IDAHO, LLC on August 22, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

The NPI profile was previously updated about 17 years ago on Jan 12, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IMAGING CENTER OF IDAHO, LLC below.

NPI Profile for
IMAGING CENTER OF IDAHO, LLC

NPI Number
1659528511
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IMAGING CENTER OF IDAHO, LLC
Primary location
4519 ENTERPRISE WAY
CALDWELL, ID 83605-8086
Phone: (208) 455-7482 Fax: (208) 455-7538
Mailing address
PO BOX 4813
BOISE, ID 83711-4813
Phone: (208) 455-7482 Fax:
Organization Subpart
No
Authorized Official
GREGORY CLARK
CEO
Phone: (208) 455-7482
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0200X
- Clinic/Center / Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.