P Praxis·MD
● Active Type 2 · Organization

Teton Open Mri Of Pocatello, Llc

Clinic/Center·Pocatello, ID· NPI 1194798397 · Enumerated 2006 · 20 years on NPI
Teton Open Mri Of Pocatello, Llc is 1 of 16 clinic/center organizations in Idaho.
NPI age
20 years
Enumerated 2006-02-08
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gray
Administrative Assistant
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 16 active clinic/center providers in Idaho.

NPI age
20 years
↑ 1 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
246 N 18th Ave
Pocatello, ID 832013356
📞 2085520828fax 2085520829
Mailing address
246 N 18th Ave
Pocatello, ID 832013356
📞 2085520828fax 2085520829

Authorized official

Bonnie C Gray
Administrative Assistant
📞 2085520828

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QR0200X

Practice context

Multi-provider organization. 2 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.

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