National Provider Identifier Database

DIAGNOSTIC IMAGING SERVICE OF IDAHO
Radiography Radiologic Technologist

A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.


Contact Information

DIAGNOSTIC IMAGING SERVICE OF IDAHO
1951 BENCH RD
SUITE F
POCATELLO, ID83201-2073
Phone: 208-237-0977
Fax: 208-237-0985
Website:
Specialty Taxonomy Code
* Radiography Radiologic Technologist 2471C3402X
Radiology, Mobile 261QR0208X

* Indicates primary specialty

NPI Profile & details for DIAGNOSTIC IMAGING SERVICE OF IDAHO

NPI Number 1508875360
Legal business name
LBN
DIAGNOSTIC IMAGING SERVICE OF IDAHO
Authorized official JAMES EVERSON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/07/2006
Last updated 06/18/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • ID Medicaid: 804301300

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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