NPI age
18 years
Enumerated 2007-07-17
● Active Type 2 · Organization
Intermountain Medical Imaging Llc
Intermountain Medical Imaging Llc is 1 of 248 radiology organizations in Idaho.
Primary specialty
Radiology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Baldwin
Executive Director
Last NPPES update
2023-10-31
Source: monthly bulk 2026-05
How this organization compares
Across 248 active radiology providers in Idaho.
NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
323 E Riverside Dr, Suite 108
Eagle, ID 836166864
Mailing address
877 W Main St Ste 603
Boise, ID 837026070
Authorized official
Wayne Baldwin
Executive Director
📞 2083843060
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Makell Brugger, CST Specialist/Technologist, Other NPI 1205159803
- Kathryn McMullan, M.D. Allergy & Immunology NPI 1538108089
- Jonathan Miller, MD Emergency Medicine NPI 1376838375
- Sawyer Schuljak, MD Emergency Medicine NPI 1568111870
- Michael Scott, DO Emergency Medicine NPI 1770224792
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Practice context
Multi-provider organization. 5 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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.