OrganizationActive
Medical Surgical Group Inc
NPI 1306917000 · Mammography Clinic/Center · Lewiston, ID
Provider details
- NPI number
- 1306917000
- Entity type
- Organization
- Primary specialty
- Mammography Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Hoffman, Business Manager(208) 743-0962
- License
- 164590 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
307 Saint Johns Way
Suite 6
Lewiston, ID 83501-2435
Phone: (208) 743-0962
Approximate (ZIP-level) locationGet directions
Mailing address
307 Saint Johns Way
Lewiston, ID 83501-2435
Registry dates
- Enumerated
- 2006-11-13
- 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.