INTERMOUNTAIN NEURODIAGNOSTICS INC (NPI# 1336475516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336475516 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN NEURODIAGNOSTICS INC |
| Practice Address |
4596 Mccowin Ln Idaho Falls ID 83406-8350 |
| Mailing Address |
4596 Mccowin Lane Idaho Falls ID 83403 |
| Practice Telephone | 2085248372 |
| Mailing Telephone | 2085248372 |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2009-10-23 |
| Authorized Official Name | MRS. DOTTIE M LAFLIN (PRESIDENT) |
| Authorized Official Telephone | 2085287566 |
| Authorized Official Credential | R.EEG/T, CNIM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4596 MCCOWIN LN |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83406-8350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383929 | Cristina Leon, Do Pa | Pediatrics | Idaho Falls Pediatrics, 3067 Eagle Dr, Ammon, ID 83406 | 2020-07-13 |
| 1144783499 | Mountain States Diabetes Relief, LLC | Internal Medicine | 4573 E Majestic, Idaho Falls, ID 83406 | 2019-04-12 |
| 1447718853 | Root Cause Integrative Medicine LLC | Family Medicine | 1547 S Midway Ave, Suite B, Ammon, ID 83406 | 2019-03-05 |
| 1225379183 | Sterling Hospital LLC | General Acute Care Hospital | 5412 S. Rock House Cir, Idaho Falls, ID 83406 | 2013-03-01 |
| 1710236823 | Flower D. Aston | Dietitian, Registered | 300 Bridger Drive, Ammon, ID 83406 | 2012-09-05 |
| 1558658468 | Nathan Myers | Pharmacist | 1901 South 2500 East, Idaho Falls, ID 83406 | 2011-06-30 |
| 1760719934 | Snf Ammon Operating Company LLC. | Skilled Nursing Facility | 3909 South 25th East, Ammon, ID 83406 | 2009-11-10 |
| 1316192370 | A Childs Smile | Dentist | 3299 E. 17th Street, Ammon, ID 83406 | 2008-11-18 |
| 1992968804 | Brandon D Gordon | Dentist | 7186 Sage View Cr, Idaho Falls, ID 83406 | 2008-07-10 |
| 1891996526 | Help, Inc. | Community/Behavioral Health | 1465 Hoopes Ave, Idaho Falls, ID 83406 | 2007-05-30 |
| Find all providers in zip 83406 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063958643 | Wendy Hunter | Specialist/Technologist, Other | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2017-01-06 |
| 1346304409 | Dottie Peck | Specialist/Technologist, Other | 1361 Cambridge Dr, Idaho Falls, ID 83401-4208 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174068282 | Jeff Conlon | Specialist/Technologist, Other | 12290 W Gregory Dr, Boise, ID 83709-6523 | 2016-12-28 |
| 1609240233 | Brien Pittman | Specialist/Technologist, Other | 784 S Clearwater Loop, Post Falls, ID 83854-9599 | 2015-11-19 |
| 1508232604 | Patricia Ann Wilson | Specialist/Technologist, Other | 1019 Sagewood Pl, Pocatello, ID 83201-2729 | 2015-08-12 |
| 1932585627 | Shawn Satterthwaite | Specialist/Technologist, Other | 215 Spruce St, Shelley, ID 83274-1441 | 2015-08-04 |
| 1306243621 | Richard Bishop | Specialist/Technologist, Other | 13748 S Morningside St, Nampa, ID 83651-5091 | 2014-12-02 |
| 1841547395 | Intra-operative Monitoring Innovations | Specialist/Technologist, Other | 1376 Fillmore Street Pmb 5757, Twin Falls, ID 83303-5757 | 2012-08-14 |
| City | IDAHO FALLS |
| Zip Code | 83406 |
Please comment or provide details below to improve the information on INTERMOUNTAIN NEURODIAGNOSTICS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.