The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1699784413 |
NPI Entity Type | Organization |
Provider Name |
Teton Cardiovascular And Pulmonary Lab,llc
Doing Business As |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 2001 S Woodruff Ave, Suite 12 B, Idaho Falls, ID, US |
Provider Mailing Address | 2001 S Woodruff Ave, Suite 12 B, Idaho Falls, ID, US, 834046374 |
Is Sole Proprietor? | No |
Official Name | R.C.S., R.V.S. Mark L Miller |
Official Position | PRESIDENT |
Phone | 208-529-2498 |
Taxonomy Code | |
Taxonomy Name | Physiological Laboratory |
Classification | |
Group | |
Description | A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
807391800 | ID | MEDICAID | 05 |
000010153937 | ID | BLUE SHIELD OF IDAHO | 01 |
8M795 | ID | BLUE CROSS OF IDAHO | 01 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
Canopy Behavioral Health, Pllc Organization |
2596 N Stokesberry Pl Ste 180 |
||
MS Lucas Jay Hooker Individual |
136 S Academy Ave |
||
Sight Partners Physicians, P.c. Organization |
2175 N Main St |
||
Morgan Raye Horine Individual |
1301 E 17th St |
||
DPT Scott Treat Individual |
3360 S 15th E |
||
Landmark Medical Of Idaho Pc Organization |
322 E Front St Ste 400 |
||
DR. D.C. Julie Lee Restad Individual |
1012 W Main St |
||
MSOTR/L Michelle Leigh Dietz Individual |
7211 W Franklin Rd |
||
MS. PA-C Ivy Meg Wilson Individual |
2893 S Cadet Pl |
||
DR. PHARMD Victoria Emenari Individual |
4400 E Flamingo Ave |
||
Shannon Finnegan Individual |
6051 W Emerald St |
||
Mrc Llc Organization |
450 W State St Ste 270 |
||
Bedside Xray Service Inc Organization |
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
1110 N Five Mile Rd |
|
Highland Physical Therapy Llc Organization |
1951 Bench Rd Suite E |
||
Bruce W Hamerl O D P C Organization |
8300 W Overland Rd |
||
Front Line Ems, Llc Organization |
575 Old Highway 30 |
||
MRS. RPT Kimberly W Schwarze Individual |
1951 Bench Rd Suite E |
||
PA-C Todd M Otstot Individual |
206 E Elm St |
||
PT, DPT Katherine Buschhorn Individual |
1951 Bench Rd Ste E |
||
Odyssey Healthcare Operating B, Lp Organization |
1230 Northwood Center Ct. Ste. B |
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