NPI age
17 years
Enumerated 2008-08-22
● Active Type 2 · Organization
Imaging Center Of Idaho, Llc
Imaging Center Of Idaho, Llc is 1 of 16 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clark
Ceo
Last NPPES update
2009-01-12
Source: monthly bulk 2026-05
How this organization compares
Across 16 active clinic/center providers in Idaho.
NPI age
17 years
↓ 1 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-08Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
4519 Enterprise Way
Caldwell, ID 836058086
Mailing address
Po Box 4813
Boise, ID 837114813
Authorized official
Gregory F. Clark
Ceo
📞 2084557482
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Christopher Malcom, D.O. Radiology NPI 1447402425
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 1 individual provider 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 →
- 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.