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Contact Information

RADIOLOGY PHYSICIANS OF IDAHO
1151 HOSPITAL WAY BLDG B
POCATELLO, ID83201
 Phone: 208-233-1187
 Fax: 208-234-3841
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for RADIOLOGY PHYSICIANS OF IDAHO

NPI Number 1952377459
LBN Legal business name RADIOLOGY PHYSICIANS OF IDAHO
Authorized official STEVEN LARSEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/24/2006
Last updated 08/04/2014 - About 12 years ago
Identifiers
ID Medicaid 002473400
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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