NPI age
2 years
Enumerated 2024-03-19
● 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
2024-03-21
Source: monthly bulk 2026-05
How this organization compares
Across 248 active radiology providers in Idaho.
NPI age
2 years
↓ 17 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-03Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
875 S Vanguard Way Ste 100
Meridian, ID 836428541
Mailing address
877 W Main St Ste 603
Boise, ID 837026070
Authorized official
Wayne Baldwin
Executive Director
📞 2083849060
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.