TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE

IDAHO FALLS, ID
NPI1013085604
Doing Business AsTETON RADIOLOGY DIAGNOSTIC LLC
Doing Business AsTETON RADIOLOGY
Entity TypeOrganization
Authorized ContactMICHAEL P HODEL
General Manager
208-542-5000
Organization Subpart ?No
Primary Taxonomy2085B0100X Radiology, Body Imaging
Additional Taxonomies2085N0700X Radiology, Neuroradiology
2085N0904X Radiology, Nuclear Radiology
2085P0229X Radiology, Pediatric Radiology
2085R0001X Radiology, Radiation Oncology
2085R0202X Radiology, Diagnostic Radiology
2085R0203X Radiology, Therapeutic Radiology
2085R0204X Radiology, Vascular & Interventional Radiology
2085R0205X Radiology, Radiological Physics
2085U0001X Radiology, Diagnostic Ultrasound
Enumeration Date2006-12-01
Last Update Date2023-11-20
Business Address
TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE
2001 S WOODRUFF AVE STE 17
IDAHO FALLS, ID 83404-6372
Phone number: 208-524-7237
Mailing Address
TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE
PO BOX 2147
IDAHO FALLS, ID 83403-2147
Phone number: 208-523-4906