NPI age
18 years
Enumerated 2007-06-12
● 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
Plus 7 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clark
Ceo
Last NPPES update
2007-11-08
Source: monthly bulk 2026-05
How this organization compares
Across 16 active clinic/center providers in Idaho.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
7
In the 31% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-06Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
4519 Enterprise Wy
Caldwell, ID 836059999
Mailing address
4519 Enterprise Way
Caldwell, ID 836059999
Authorized official
Gregory F. Clark, B.S., RT, R
Ceo
📞 2086296235
Specialties
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Clinic/Center PrimaryDefinition to come...
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Clinic/CenterDefinition to come...
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Radiologic TechnologistA radiologic technologist who specializes in bone densitometry and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in performance of bone density imaging, exam...
-
Radiologic TechnologistA radiologic technologist who specializes in computed tomography (CT) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of CT imaging, exam...
-
Radiologic TechnologistA 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...
-
Radiologic TechnologistA radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam...
-
Radiologic TechnologistA radiologic technologist who specializes in mammography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of mammogram imaging, exam...
-
Radiologic TechnologistA radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques,...
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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