Imaging Center of Idaho, LLC
NPI 1801090204 · Radiology Clinic/Center · Caldwell, ID
Imaging Center of Idaho, LLC is a Radiology Clinic/Center organization in Caldwell, ID (NPI 1801090204).
Provider details
- NPI number
- 1801090204
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregory Clark, Ceo(208) 629-6235
Specialties & taxonomies
Ambulatory Health Care Facilities
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
- Radiography Radiologic Technologist2471C3402X
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
- Mammography Radiologic Technologist2471M2300X
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-06-12
- Last updated
- 2007-11-08
Frequently asked questions
- What is Imaging Center of Idaho, LLC's NPI number?
- Imaging Center of Idaho, LLC's National Provider Identifier (NPI) is 1801090204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Imaging Center of Idaho, LLC?
- Imaging Center of Idaho, LLC is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Imaging Center of Idaho, LLC located?
- Imaging Center of Idaho, LLC's practice location on file with NPPES is 4519 Enterprise Wy, Caldwell, ID 83605-9999.
- What is Imaging Center of Idaho, LLC's phone number?
- The practice phone number listed in the NPPES registry for Imaging Center of Idaho, LLC is (208) 455-7482.
- Who is the authorized official for Imaging Center of Idaho, LLC?
- The authorized official listed on Imaging Center of Idaho, LLC's NPPES record is Gregory Clark, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Imaging Center of Idaho, LLC's NPI active?
- Yes — Imaging Center of Idaho, LLC's NPI (1801090204) is active in the NPPES registry as of the last update on 2007-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.