Lewis Clark Imaging, LLC

NPI #1316659899 in Lewiston, Idaho

Provider Information

NPI Number
1316659899
Entity Type
Organization
Organization Name
Lewis Clark Imaging, LLC
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Dec 16, 2022
Last Updated
Jun 12, 2024

Practice Location

Address
336 WARNER DR STE B
State
Idaho
ZIP Code
83501-4441
Phone
(360) 391-9311

Authorized Official

Name
IVY GWOST, RVT, RDMS, RDCS
Title
CO-OWNER
Phone
(360) 391-9311

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Clinic/Center - RadiologyRadiology

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