Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boise Radiology Group PLLC

Organization Neuroradiology Physician · NPI 1740216175

Boise Radiology Group PLLC is a Neuroradiology Physician in Boise, Idaho. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

620 W Hays St
Boise, ID 83702-5511
Phone: (208) 381-2094
Fax: (208) 381-1791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X
Neuroradiology Physician Taxonomy 2085N0700X
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X

Record details

NPI number1740216175
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Smith — Administrator · (208) 433-9466
NPI enumeratedJune 25, 2006
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing addressPo Box 1616, Evansville, IN 47706-0018

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