Teton Radiology Diagnostic, LLC
Teton Radiology Diagnostic, LLC provides Body Imaging Physician services in Idaho Falls, Idaho. Registered with an NPI since 2009.
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2001 S Woodruff Ave Ste 17Idaho Falls, ID 83404-6372
Phone: (208) 524-7237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Body Imaging Physician (primary) | Taxonomy 2085B0100X |
|---|
Record details
| NPI number | 1194969725 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Teton Radiology Diagnositc, LLC |
| Authorized official | Michael Hodel — General Manager · (208) 542-5000 |
| NPI enumerated | April 27, 2009 |
| Last updated in NPPES | January 5, 2026 |
| Certification date | January 5, 2026 |
| Mailing address | Po Box 30015, Dept 594, Salt Lake City, UT 84130-0015 |
Other providers in Idaho Falls
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Teton Radiology Diagnostic a Series of Teton Group Enterprise
2001 S Woodruff Ave Ste 17, Idaho Falls, ID 83404-6372 · (208) 524-7237