Imaging Center of Idaho, LLC
NPI #1801090204 in Caldwell, Idaho
Provider Information
- NPI Number
- 1801090204
- Entity Type
- Organization
- Organization Name
- Imaging Center of Idaho, LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Jun 12, 2007
- Last Updated
- Nov 8, 2007
Practice Location
Authorized Official
- Name
- MR. GREGORY F. CLARK, B.S., RT, R
- Title
- CEO
- Phone
- (208) 629-6235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiologic Technologist - Bone Densitometry — Bone Densitometry |
| Radiologic Technologist - Computed Tomography — Computed Tomography |
| Radiologic Technologist - Radiography — Radiography |
| Radiologic Technologist - Magnetic Resonance Imaging — Magnetic Resonance Imaging |
| Radiologic Technologist - Mammography — Mammography |
| Radiologic Technologist - Sonography — Sonography |
| Clinic/Center - Magnetic Resonance Imaging (MRI) — Magnetic Resonance Imaging (MRI) |
| Clinic/Center - Radiology — Radiology |
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