| NPI | 1801090204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY F. CLARK CEO 208-629-6235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2471B0102X Radiologic Technologist, Bone Densitometry |
| 2471C3401X Radiologic Technologist, Computed Tomography | |
| 2471C3402X Radiologic Technologist, Radiography | |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging | |
| 2471M2300X Radiologic Technologist, Mammography | |
| 2471S1302X Radiologic Technologist, Sonography | |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2007-11-08 |