QUALITY MEDICAL IMAGING OF IDAHO INC (NPI# 1528489044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528489044 |
| Entity Type | Organization |
| Organization Name | QUALITY MEDICAL IMAGING OF IDAHO INC |
| Practice Address |
1525 Addison Ave E Suite A3 Twin Falls ID 83301-5300 |
| Mailing Address |
2490 Professional Ct Suite 110 Las Vegas NV 89128-0835 |
| Practice Telephone | 8665084870 |
| Practice Fax Number | 8666274071 |
| Mailing Telephone | 7028391133 |
| Mailing Fax Number | 7026294711 |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2016-05-27 |
| Authorized Official Name | MR. ROGER C FASELT (PRESIDENT) |
| Authorized Official Telephone | 7028391133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023439510 | Quality Medical Imaging of Idaho Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1525 Addison Ave E, Suite A3, Twin Falls, ID 83301-5300 | 2013-12-30 |
| Street Address |
1525 ADDISON AVE E SUITE A3 |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295702033 | Huberta L Phipps | Social Worker | 1525 Addison Ave E, 1369 E 16th St, Twin Falls, ID 83301 | 2006-03-01 |
| 1023439510 | Quality Medical Imaging of Idaho Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1525 Addison Ave E, Suite A3, Twin Falls, ID 83301-5300 | 2013-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023439510 | Quality Medical Imaging of Idaho Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1525 Addison Ave E, Suite A3, Twin Falls, ID 83301-5300 | 2013-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730455437 | Kan-di-ki, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3000 E Seltice Way Ste 14, Post Falls, ID 83854-5590 | 2012-03-27 |
| 1992860324 | Bedside Xray Service Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1110 N Five Mile Rd, Boise, ID 83713-8034 | 2006-12-26 |
| 1104082221 | Schryver Medical Sales and Marketing, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2399 S Orchard St, 105, Boise, ID 83705-3793 | 2008-07-29 |
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on QUALITY MEDICAL IMAGING OF IDAHO 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.