OrganizationActive
Intermountain Medical Imaging LLC
NPI 1326247511 · Diagnostic Radiology Physician · Eagle, ID
Provider details
- NPI number
- 1326247511
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wayne Baldwin, Executive Director(208) 384-3060
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
323 E Riverside Dr
Suite 108
Eagle, ID 83616-6864
Phone: (208) 367-7510
Street-level locationGet directions
Mailing address
877 W Main St Ste 603
Boise, ID 83702-6070
Registry dates
- Enumerated
- 2007-07-17
- Last updated
- 2023-10-31
- Certified
- 2023-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.