Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern Idaho Radiology PA

Organization Diagnostic Radiology Physician · NPI 1295771129

Southern Idaho Radiology PA provides Diagnostic Radiology Physician services in Twin Falls, Idaho. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

260 Falls Ave
Twin Falls, ID 83301-3370 Not confirmed with CMS for 19 years — call before visiting
Phone: (208) 737-2192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1295771129
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Wasserstrom — President · (208) 734-1177
NPI enumeratedJune 20, 2006
Last updated in NPPESJuly 18, 2007
Mailing addressPo Box 9649, Boise, ID 83707-4649

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