Teton Radiology Diagnostic, LLC
NPI #1194969725 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1194969725
- Entity Type
- Organization
- Organization Name
- Teton Radiology Diagnostic, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TETON RADIOLOGY DIAGNOSITC, LLC
- Primary Specialty
- Radiology - Body Imaging
- Enumeration Date
- Apr 27, 2009
- Last Updated
- Jan 5, 2026
Practice Location
- Address
- 2001 S WOODRUFF AVE STE 17
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6372
- Phone
- (208) 524-7237
Authorized Official
- Name
- MR. MICHAEL P HODEL
- Title
- GENERAL MANAGER
- Phone
- (208) 542-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Body Imaging — Body Imaging |
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