OrganizationActive
Intermountain Medical Imaging LLC
NPI 1669423679 · Diagnostic Radiology Physician · Boise, ID
Provider details
- NPI number
- 1669423679
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Wayne Baldwin, Executive Director
Practice location
927 W Myrtle St
Boise, ID 83702-7061
Phone: (208) 367-7510
Fax: (208) 367-6367
Mailing address
877 W Main St Ste 603
Boise, ID 83702-6070
Registry dates
- Enumerated
- 2006-05-15
- Last updated
- 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.