PORTABLE XRAY OF IDAHO LLC (NPI# 1588634356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588634356 |
| Entity Type | Organization |
| Organization Name | PORTABLE XRAY OF IDAHO LLC |
| Practice Address |
2399 S Orchard St Boise ID 83705-3793 |
| Mailing Address |
5538 Duncan Dr Las Vegas NV 89130-2812 |
| Practice Telephone | 7023955011 |
| Mailing Telephone | 7026452606 |
| Mailing Fax Number | 7026452874 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CAROL TOOMEY (MEMBER) |
| Authorized Official Telephone | 7026452606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| Street Address |
2399 S ORCHARD ST |
| City | BOISE |
| State | ID |
| Zip Code | 83705-3793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275984098 | All-city Transpprt | Non-emergency Medical Transport (VAN) | 2399 S Orchard St, #213, Boise, ID 83705-3793 | 2016-06-22 |
| 1679958896 | Schryver Medical Sales and Marketing, LLC | Physiological Laboratory | 2399 S Orchard St, Suite 105, Boise, ID 83705-3793 | 2015-07-29 |
| 1144607359 | Michelle Alden | Counselor | 2399 S Orchard St, Suite 201, Boise, ID 83705-3793 | 2015-04-27 |
| 1770898165 | Erin A Garrison | Counselor | 2399 S Orchard St, Suite 203, Boise, ID 83705-3793 | 2010-08-10 |
| 1497078935 | Denae Barowsky | Counselor | 2399 S Orchard St, Suite 203, Boise, ID 83705-3793 | 2010-03-11 |
| 1679801831 | Helen Ahern | Radiologic Technologist | 2399 S Orchard St, Suite 202a, Boise, ID 83705-3793 | 2009-11-30 |
| 1801025739 | Stephanie Donaldson | Counselor | 2399 S Orchard St, Suite 203, Boise, ID 83705-3793 | 2009-07-13 |
| 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 |
| 1427242734 | Idaho Spine and Sports Chiropractic Inc | Chiropractor | 2399 S Orchard St, Ste. 204, Boise, ID 83705-3793 | 2007-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879943 | Heritage Imaging, Inc. | Clinic/Center | 12554 W. Bridger St. Suite 118, Boise, ID 83713-1582 | 2020-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104225531 | Allied Portable X-ray Inc | Clinic/Center | 1255 Filer Ave E Ste C, Twin Falls, ID 83301-4118 | 2014-08-21 |
| 1730445214 | Onsite Diagnostic Solutions | Clinic/Center | 9133 N Orange Blossom Ct, Hayden, ID 83835-8748 | 2012-04-09 |
| 1730408170 | Alliance Healthcare Services Inc | Clinic/Center | 1702 16th St, Lewiston, ID 83501-3911 | 2010-05-25 |
| 1023028529 | Alliance Healthcare Services Inc | Clinic/Center | 1300 E Mullan Ave # 700, Post Falls, ID 83854-6052 | 2006-08-08 |
| 1508875360 | Diagnostic Imaging Service of Idaho | Clinic/Center | 1951 Bench Rd, Suite F, Pocatello, ID 83201-2073 | 2006-08-07 |
| 1255345765 | Idaho Independent Mri LLC | Clinic/Center | 562 Shoup Ave W, Twin Falls, ID 83301-5029 | 2006-07-28 |
Please comment or provide details below to improve the information on PORTABLE XRAY OF IDAHO LLC.
| 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.