INTERMOUNTAIN MEDICAL IMAGING LLC – NPI #1326247511
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

INTERMOUNTAIN MEDICAL IMAGING LLC is a radiologist located in EAGLE, ID. NPPES has assigned the NPI number 1326247511 to INTERMOUNTAIN MEDICAL IMAGING LLC on July 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 3 years ago on Oct 31, 2023. 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 INTERMOUNTAIN MEDICAL IMAGING LLC below.

NPI Profile for
INTERMOUNTAIN MEDICAL IMAGING LLC

NPI Number
1326247511
Enumeration Date

(about 19 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
INTERMOUNTAIN MEDICAL IMAGING LLC
Primary location
323 E RIVERSIDE DR
SUITE 108
EAGLE, ID 83616-6864
Phone: (208) 367-7510 Fax:
Mailing address
877 W MAIN ST STE 603
BOISE, ID 83702-6070
Phone: (208) 954-8175 Fax: (208) 384-9023
Organization Subpart
No
Authorized Official
WAYNE BALDWIN
EXECUTIVE DIRECTOR
Phone: (208) 384-3060
Updated
Certification Date
Oct 31, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2085R0202X
- Radiology / Diagnostic 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.