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Contact Information

IDAGEM SERVICES INC
1533 N MILWAUKEE ST
STE 321
BOISE, ID83704-8471
 Phone: 208-283-6678
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IDAGEM SERVICES INC

NPI Number 1831423557
LBN Legal business name IDAGEM SERVICES INC
Authorized official STEVEN KRAWTZ - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2009
Last updated 10/27/2010 - About 16 years ago
Identifiers
ID License # M9083
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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