OrganizationActive
Jordan Ridge Family Medicine LLC
NPI 1578277950 · Mobile Radiology Clinic/Center · Boise, ID
Provider details
- NPI number
- 1578277950
- Entity type
- Organization
- Primary specialty
- Mobile Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Emily Castillo, Manager(702) 480-2550
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
322 E Front St
Boise, ID 83702-7374
Phone: (385) 274-3959
Fax: (385) 274-3970
Street-level locationGet directions
Mailing address
Po Box 35380
Las Vegas, NV 89133-5380
Other names (DBA / former)
- Doing business as
- Mobile Unit-Idaho
Registry dates
- Enumerated
- 2023-01-10
- Last updated
- 2023-01-10
- Certified
- 2023-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.