Teton Radiology Diagnostic, LLC
NPI 1194969725ActiveOrganization· Radiology, Body Imaging· Idaho Falls, ID
Radiology, Body Imaging in Idaho Falls, Idaho, registered in NPPES in April 2009, part of Teton Radiology Diagnositc, LLC. The authorized official on file is Michael P. Hodel, General Manager.
Overview
| NPI | 1194969725 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Teton Radiology Diagnositc, LLC |
| NPI issued | Apr 27, 2009 |
| Last updated in NPPES | Jan 5, 2026 |
| Certified by provider | Jan 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Body Imaging Primary | 2085B0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Radiology, Body Imaging providers in Idaho Falls
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