Portable Xray of Idaho LLC

NPI #1588634356 in Boise, Idaho

Provider Information

NPI Number
1588634356
Entity Type
Organization
Organization Name
Portable Xray of Idaho LLC
Primary Specialty
Clinic/Center - Radiology, Mobile
Enumeration Date
Jan 25, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
2399 S ORCHARD ST
City
Boise
State
Idaho
ZIP Code
83705-3793
Phone
(702) 395-5011

Authorized Official

Name
MRS. CAROL TOOMEY
Title
MEMBER
Phone
(702) 645-2606

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