NPI age
5 years
Enumerated 2020-08-31
● Active Type 2 · Organization
Innovative Medical Imaging, Pllc
Innovative Medical Imaging, Pllc 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
Thiede
Authorized Official
Last NPPES update
2024-02-12
Source: monthly bulk 2026-05
How this organization compares
Across 248 active radiology providers in Idaho.
NPI age
5 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-08Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
512 Pole Line Rd Ste 1
Twin Falls, ID 833016367
Mailing address
Po Box 1614
Evansville, IN 477060016
Authorized official
Stephan G Thiede, MD
Authorized Official
📞 5413347550
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.