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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 Specialty Code Provider Type

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for TETON NUCLEAR MEDICINE SERVICE LLC

NPI # 1265612543
LBN Legal business name TETON NUCLEAR MEDICINE SERVICE LLC
Authorized official DANNY DAVIS - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/05/2007
Last updated 11/05/2007 - About 19 years ago
Identifiers n/a
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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