Innovative Medical Imaging, PLLC
NPI 1962015776ActiveOrganization· Radiology, Diagnostic Radiology· Twin Falls, ID
Radiology, Diagnostic Radiology in Twin Falls, Idaho, registered in NPPES in August 2020. The authorized official on file is Stephan G. Thiede, MD, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1962015776 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2020 |
| Last updated in NPPES | Feb 12, 2024 |
| Certified by provider | Feb 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
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 - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (OR) |
|---|
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