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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 293D00000X | Physiological Laboratory | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 070904 | 05 | |
ID | 002641800 | 05 |
Other Name | Type Code |
---|---|
MRI Mobile Limited Partnership | Former Legal Business Name - Organization |
Street Address |
1512 12TH AVENUE ROAD |
City | NAMPA |
State | ID |
Zip Code | 83686-6008 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
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 Code | 293D00000X |
Grouping | Laboratories |
Classification | Physiological Laboratory |
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. |
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 |
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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.