| NPI | 1851384416 |
|---|---|
| Doing Business As | KOOTENAI IMAGING |
| Entity Type | Organization |
| Authorized Contact | SCOTT VENERA Practice Manager 208-625-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2024-02-09 |