NPI age
19 years
Enumerated 2006-09-21
● Active Type 2 · Organization
Intermountain Diagnostics, Inc.
Intermountain Diagnostics, Inc. is 1 of 6 specialist/technologist cardiovascular organizations in Idaho.
Primary specialty
Specialist/Technologist Cardiovascular
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cammack
Billing Agent
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 6 active specialist/technologist cardiovascular providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
200 N 4th St, Suite 15
Boise, ID 837026001
Mailing address
200 N 4th St, Suite 15
Boise, ID 837026001
Authorized official
L. Kathleen Cammack
Billing Agent
📞 2083374254
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Marlys Borreson, L.C.P.C. Counselor NPI 1659334944
- David McElwain Acupuncturist NPI 1285176669
Specialties
-
Specialist/Technologist Cardiovascular PrimaryA cardiovascular sonography technologist operates special equipment to create images and conduct tests of the cardiovascular system. They work with physicians who view the images and test results to assess and diagnose medical conditions.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010017912 | BLUE SHIELD |
| 01 (ID) | 170283 | OMAP (OREGON MEDICAL) |
| 01 (ID) | 8D244 | BLUE CROSS |
| 01 (ID) | 1538377 | UNITED MINE WORKERS |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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