OrganizationActive
Intermountain Diagnostics, Inc.
NPI 1154429058 · Sonography Specialist/Technologist Cardiovascular · Boise, ID
Provider details
- NPI number
- 1154429058
- Entity type
- Organization
- Primary specialty
- Sonography Specialist/Technologist CardiovascularTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- L. Kathleen Cammack, Billing Agent(208) 337-4254
- License
- NONE GIVEN IN IDAHO (ID)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
200 N 4th St
Suite 15
Boise, ID 83702-6001
Phone: (208) 331-0436
Fax: (208) 424-8501
Approximate (ZIP-level) locationGet directions
Mailing address
200 N 4th St
Boise, ID 83702-6001
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.