Imaging Center of Idaho, LLC
NPI #1659528511 in Caldwell, Idaho
Provider Information
- NPI Number
- 1659528511
- Entity Type
- Organization
- Organization Name
- Imaging Center of Idaho, LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Aug 22, 2008
- Last Updated
- Jan 12, 2009
Practice Location
Authorized Official
- Name
- MR. GREGORY F. CLARK
- Title
- CEO
- Phone
- (208) 455-7482
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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