NPI age
19 years
Enumerated 2006-08-07
● Active Type 2 · Organization
Diagnostic Imaging Service Of Idaho
Diagnostic Imaging Service Of Idaho is 1 of 3 radiologic technologist organizations in Idaho.
Primary specialty
Radiologic Technologist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Everson
Owner
Last NPPES update
2012-06-18
Source: monthly bulk 2026-05
How this organization compares
Across 3 active radiologic technologist providers in Idaho.
NPI age
19 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 66% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1951 Bench Rd, Suite F
Pocatello, ID 832012073
Mailing address
1951 Bench Rd, Suite F
Pocatello, ID 832012073
Authorized official
James Jay Everson, RDMS
Owner
📞 2082370977
Individual providers at this organization
14 individual providers on file at this primary practice address.
- John Fenstermaker, D.O. Family Medicine NPI 1548581390
- Nicolette Hampton, NP-C Nurse Practitioner NPI 1184083818
- Robert Jones, MD Ophthalmology NPI 1912015330
- Brandon Mickelsen, D.O. Family Medicine NPI 1417987686
- Travis Nielsen, D.O. Family Medicine NPI 1730340365
- Blaine Olsen, D.O. Family Medicine NPI 1922236454
- Michael Otto, RPT Physical Therapist NPI 1558324590
- William Sabel, FNP Nurse Practitioner NPI 1982690863
- Kimberly Schwarze, RPT Physical Therapist NPI 1972566354
- Mandy Smith, PTA Physical Therapy Assistant NPI 1528414513
- Andrew Thayne, M.D. Family Medicine NPI 1669405791
- Joni Vaughn Powell, RPT Physical Therapist NPI 1962465344
- Kris Walker, MD Family Medicine NPI 1861500613
- Zachary Warnock, M.D. Family Medicine NPI 1164717419
Specialties
-
Radiologic Technologist PrimaryA radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of...
-
Clinic/CenterDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 804301300 |
Practice context
Multi-provider organization. 14 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- 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.