TETON NUCLEAR MEDICINE SERVICE LLC NPI 1265612543

NPI Information

NPI: 1265612543
Provider Name: TETON NUCLEAR MEDICINE SERVICE LLC
Classification: Nuclear Medicine - 207UN0902X
Entity Type: Organization

Specialization: Nuclear Imaging & Therapy

Address:
2001 S WOODRUFF AVE
STE 20
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 525-3201
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TETON NUCLEAR MEDICINE SERVICE LLC is a nuclear imaging and therapy nuclear medicine in Idaho Falls, ID. The provider is a nuclear medicine physician who specializes in nuclear imaging and therapy. TETON NUCLEAR MEDICINE SERVICE LLC NPI is 1265612543. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2001 S WOODRUFF AVE
STE 20
IDAHO FALLS, ID
ZIP 83404-374
Phone: (208) 525-3201

The provider's authorized official is Danny L Davis .
The authorized official title is Manager and has the following contact phone number (208) 525-3201.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 11/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207UN0901X	Nuclear Medicine	Nuclear Cardiology			No
2	207UN0902X	Nuclear Medicine	Nuclear Imaging & Therapy			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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