Intermountain Medical Imaging LLC

NPI #1598524696 in Meridian, Idaho

Provider Information

NPI Number
1598524696
Entity Type
Organization
Organization Name
Intermountain Medical Imaging LLC
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Mar 19, 2024
Last Updated
Mar 21, 2024

Practice Location

Address
875 S VANGUARD WAY STE 100
State
Idaho
ZIP Code
83642-8541
Phone
(208) 954-8100

Authorized Official

Name
WAYNE BALDWIN
Title
EXECUTIVE DIRECTOR
Phone
(208) 384-9060

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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