Teton MRI of Idaho Falls

Organization Radiology Clinic/Center · NPI 1053305144

Teton MRI of Idaho Falls provides Radiology Clinic/Center services in Idaho Falls, Idaho. Registered with an NPI since 2005.

In the registry since: 2005

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Practice location Address checks out

2060 S Woodruff Ave
Idaho Falls, ID 83404-6396 Not confirmed with CMS for 19 years — call before visiting
Phone: (208) 552-0828
Fax: (208) 552-0829

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

Specialties & licences

Radiology Clinic/Center (primary)	Taxonomy 261QR0200X

Record details

NPI number	1053305144
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Bonnie Gray — Administrative Assistant · (208) 552-0828
NPI enumerated	September 6, 2005
Last updated in NPPES	July 10, 2007
Mailing address	2060 S Woodruff Ave, Idaho Falls, ID 83404-6396