NPI age
3 years
Enumerated 2022-12-16
● Active Type 2 · Organization
Lewis Clark Imaging, Llc
Lewis Clark Imaging, Llc is 1 of 16 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gwost
Co-Owner
Last NPPES update
2024-06-12
Source: monthly bulk 2026-05
How this organization compares
Across 16 active clinic/center providers in Idaho.
NPI age
3 years
↓ 15 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-12Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
336 Warner Dr Ste B
Lewiston, ID 835014441
Mailing address
336 Warner Dr Ste B
Lewiston, ID 835014441
Authorized official
Ivy Gwost, RVT, RDMS, RDCS
Co-Owner
📞 3603919311
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.