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Intermountain Medical Imaging LLC

NPI 1679520415ActiveOrganization· Radiology, Diagnostic Radiology· Meridian, ID

Radiology, Diagnostic Radiology in Meridian, Idaho, registered in NPPES in May 2006. The authorized official on file is Norman Hames, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI1679520415
StatusActive
Entity typeOrganization
NPI issuedMay 27, 2006
Last updated in NPPESAug 19, 2026
Certified by providerAug 19, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Radiology, Diagnostic Radiology Primary2085R0202X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (AK); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (WA); Part B Supplier - Clinic/Group Practice (WI)

Medicare sources and data years

Other Radiology, Diagnostic Radiology providers in Meridian

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