Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Medical Imaging, PLLC

Organization Diagnostic Radiology Physician · NPI 1962015776

Innovative Medical Imaging, PLLC provides Diagnostic Radiology Physician services in Twin Falls, Idaho. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

512 Pole Line Rd Ste 1
Twin Falls, ID 83301-6367
Phone: (208) 735-5555
Fax: (208) 735-5556
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1962015776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephan Thiede — Authorized Official · (541) 334-7550
NPI enumeratedAugust 31, 2020
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing addressPo Box 1614, Evansville, IN 47706-0016

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