Diagnostic Imaging Service of Idaho
NPI 1508875360ActiveOrganization· Radiologic Technologist, Radiography· Pocatello, ID
Radiologic Technologist, Radiography in Pocatello, Idaho, registered in NPPES in August 2006. The authorized official on file is James Jay Everson, RDMS, Owner. Medicare paid $53,819 for services to 392 patients in 2024.
Overview
| NPI | 1508875360 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 7, 2006 |
| Last updated in NPPES | Jun 18, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiologic Technologist, Radiography Primary | 2471C3402X | — | — |
| Clinic/Center, Radiology, Mobile | 261QR0208X | — | — |
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) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 392 |
|---|---|
| Services billed | 985 across 28 procedure codes |
| Paid by Medicare | $53,819 |