MOUNTAIN TELERAD, PLLC – NPI #1821280371
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

MOUNTAIN TELERAD, PLLC is a radiologic technologist located in CALDWELL, ID. NPPES has assigned the NPI number 1821280371 to MOUNTAIN TELERAD, PLLC on August 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 247100000X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist.

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 MOUNTAIN TELERAD, PLLC below.

NPI Profile for
MOUNTAIN TELERAD, PLLC

NPI Number
1821280371
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
MOUNTAIN TELERAD, PLLC
Primary location
4519 ENTERPRISE WAY
CALDWELL, ID 83605
Phone: (208) 455-7482 Fax: (208) 455-7538
Mailing address
141 VICTOR GUST DR
MOUNTAIN HOME, ID 83647-1654
Phone: (208) 580-9524 Fax:
Organization Subpart
No
Authorized Official
MICHEAL JOHNSON
OWNER
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
247100000X
- Radiologic Technologist (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.