INTERMOUNTAIN MEDICAL IMAGING LLC (NPI# 1679520415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679520415 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN MEDICAL IMAGING LLC |
| Practice Address |
2929 E Magic View Dr Meridian ID 83642-3560 |
| Mailing Address |
Po Box 9649 Boise ID 83707-4649 |
| Practice Telephone | 2083678222 |
| Mailing Telephone | 2084728101 |
| Mailing Fax Number | 2084728172 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2009-10-05 |
| Authorized Official Name | JEFFREY R CLIFF (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2083849060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679513303 | Intermountain Medical Imaging LLC | Radiology | 161 E Mallard Dr, Suite 120, Boise, ID 83706-5015 | 2006-06-08 |
| 1669423679 | Intermountain Medical Imaging LLC | Radiology | 927 W Myrtle St, Boise, ID 83702-7061 | 2006-05-15 |
| 1326247511 | Intermountain Medical Imaging LLC | Radiology | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6864 | 2007-07-17 |
| 1114974953 | Intermountain Medical Imaging LLC | Radiology | 1055 N Curtis Rd, Boise, ID 83706-1352 | 2006-05-27 |
| Street Address |
2929 E MAGIC VIEW DR |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-3560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124009840 | Mary Ann Cowart | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2005-11-09 |
| 1558369645 | Sandra H. Pupa | Radiology | 1730a 14th St, Meridian, MS 39301-4140 | 2005-07-12 |
| 1790958213 | Rachel S Chard | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2008-04-04 |
| 1801072632 | William Tidwell | Radiology | 1800 12th St, Meridian, MS 39301-4158 | 2008-01-10 |
| 1316095136 | Rural Medical Associates, Inc. | Radiology | 1730a 14th St, Meridian, MS 39301-4140 | 2007-01-08 |
| 1235238965 | Meridian Radiology Associates Pa | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2006-09-21 |
| 1770512303 | Amy Ball Coleman | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2006-07-03 |
| 1831170208 | John R Blackwell | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2005-11-10 |
| 1659352011 | Michael Stacy Thaggard | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2005-11-10 |
| 1558342279 | Charles Adrian Ray IIi | Radiology | 1800 12th St, Meridian, MS 39301-4158 | 2005-11-09 |
| Find all providers in MERIDIAN | ||||
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| 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.