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Contact Information

MEDICAL IMAGING ASSOCIATES OF IDAHO FALLS, INC
777 HOSPITAL WAY
POCATELLO, ID83201-5175
 Phone: 208-529-6111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for MEDICAL IMAGING ASSOCIATES OF IDAHO FALLS, INC

NPI # 1740225531
LBN Legal business name MEDICAL IMAGING ASSOCIATES OF IDAHO FALLS, INC
Authorized official KAREN VAUGHN - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2006
Last updated 03/25/2026 - About 2 months ago
Identifiers
ID Medicaid 002435500
Other CD9692 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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