National Provider Identifier Database

TETON NUCLEAR MEDICINE SERVICE LLC
Nuclear Imaging & Therapy


Contact Information

TETON NUCLEAR MEDICINE SERVICE LLC
2001 S WOODRUFF AVE
STE 20
IDAHO FALLS, ID83404-6374
Phone: 208-525-3201
Fax:
Website:
Specialty Taxonomy Code
* Nuclear Imaging & Therapy 207UN0902X
Nuclear Cardiology 207UN0901X

* Indicates primary specialty

NPI Profile & details for TETON NUCLEAR MEDICINE SERVICE LLC

NPI Number 1265612543
Legal business name
LBN
TETON NUCLEAR MEDICINE SERVICE LLC
Authorized official DANNY DAVIS - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 11/05/2007
Last updated 11/05/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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