MRI MOBILE HOLDINGS LIMITED PARTNERSHIP


Address: 1512 12th Avenue Road, Nampa, ID 83686-6008
Phone: 2089477002

MRI MOBILE HOLDINGS LIMITED PARTNERSHIP (NPI# 1881649234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881649234
Entity Type Organization
Organization Name MRI MOBILE HOLDINGS LIMITED PARTNERSHIP
Other Organization Name MRI MOBILE LIMITED PARTNERSHIP
Practice Address 1512 12th Avenue Road
Nampa
ID 83686-6008
Mailing Address 6225 N Meeker Place
Suite 130
Boise
ID 83713-1579
Practice Telephone 2089477002
Practice Fax Number 2089477003
Mailing Telephone 2089477002
Mailing Fax Number 2089477001
Enumeration Date 2006-05-24
Last Update Date 2015-12-28
Authorized Official Name DR. DAVID GILES (CEO/MEDICAL DIRECTOR)
Authorized Official Telephone 2089477002
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 293D00000X Physiological Laboratory Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
OR 070904 05
ID 002641800 05

Other Provider/Organization Names

Other Name Type Code
MRI Mobile Limited Partnership Former Legal Business Name - Organization

Office Location

Street Address 1512 12TH AVENUE ROAD
City NAMPA
State ID
Zip Code 83686-6008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578624557 Kathy Lynn Hohenbrink Dietitian, Registered 1512 12th Avenue Road, Nampa, ID 83686 2006-12-13
1598798498 Paul Cannon Morgan Anesthesiology 1512 12th Avenue Road, Nampa, ID 83686 2006-07-07

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1871150185 King's Peak Investments, Inc. Substance Abuse Rehabilitation Facility 8898 Idaho 45, Nampa, ID 83686 2019-05-22
1154805786 Jmj Nampa LLC Dentist 914 12th Ave Rd, Nampa, ID 83686 2018-09-19
1518448703 Michel Cox Pharmacy Technician 2219 12th Ave S, Nampa, ID 83686 2018-08-24
1437504909 5 Peppers Inc Family Medicine 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 2016-05-03
1811369549 Anna Stoia Physician Assistant 4401 E. Tuscany Ave., Nampa, ID 83686 2015-10-21
1144699307 Jamie Green Social Worker 112 12th Avenue Rd., Nampa, ID 83686 2015-09-17
1174927933 Bower Chiropractic Inc Chiropractor 304 12th Ave Rd, Nampa, ID 83686 2014-10-22
1285037093 Rosemary Phelps Registered Nurse 353 W. Iowa, Nampa, ID 83686 2014-10-07
Find all providers in zip 83686

Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063807626 Clearview Ultrasound Inc. Physiological Laboratory 16670 Ustick Rd, Caldwell, ID 83607-9611 2015-03-31
1730316613 Pulmonary Testing Center LLC Physiological Laboratory 122 N State St Ste B, Preston, ID 83263-1143 2009-06-17
1679958896 Schryver Medical Sales and Marketing, LLC Physiological Laboratory 2399 S Orchard St, Suite 105, Boise, ID 83705-3793 2015-07-29
1699784413 Teton Cardiovascular and Pulmonary Lab,llc Physiological Laboratory 2001 S Woodruff Ave, Suite 12 B, Idaho Falls, ID 83404-6374 2006-08-08
1265489785 Diagnostic Health Corporation Physiological Laboratory 8800 W Emerald St, Boise, ID 83704-8205 2006-05-29

Competitor

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City NAMPA
Zip Code 83686

Improve Information

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Dataset Information

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.

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