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Phoenix Radiology, Pllc

Radiology·Lewiston, ID· NPI 1164493334 · Enumerated 2006 · 20 years on NPI
Phoenix Radiology, Pllc is 1 of 23 radiology organizations in Idaho.
NPI age
20 years
Enumerated 2006-01-27
Primary specialty
Radiology
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Peterson
Owner
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05

How this organization compares

Across 23 active radiology providers in Idaho.

NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 69% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
415 6th St
Lewiston, ID 835012431
📞 2087995335
Mailing address
531 4th Ave
Lewiston, ID 835012450
📞 2087434393fax 2087434214

Authorized official

Mark W Peterson, M.D.
Owner
📞 2087434393

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

Allopathic & Osteopathic Physicians › Radiology
  • Radiology Primary
    A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
    taxonomy 2085R0204X
  • Radiology
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    taxonomy 2085R0202X

Identifiers

TypeValueNotes
01 DC3860 RAILROAD MEDICARE
01 (WA) 0192979 LABOR & INDUSTRIES
01 (ID) 000010148406 REGENCE BS OF IDAHO
01 (ID) 8J679 BLUE CROSS OF IDAHO
05 (WA) 7124605

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related

Radiology organizations in Idaho
→ Idaho hub
About this specialty
→ Specialty guide