OrganizationActive
Intermountain Medical Imaging LLC
NPI 1679520415 · Diagnostic Radiology Physician · Meridian, ID
Provider details
- NPI number
- 1679520415
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wayne Baldwin, Executive Director(208) 384-9060
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2929 E Magic View Dr
Meridian, ID 83642-3560
Phone: (208) 367-8222
Approximate (ZIP-level) locationGet directions
Mailing address
877 W Main St Ste 603
Boise, ID 83702-6070
Registry dates
- Enumerated
- 2006-05-27
- 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.