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

Idaho Facial Imaging LLC

Organization Radiology Clinic/Center · NPI 1437178399

Idaho Facial Imaging LLC is a Radiology Clinic/Center in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8119 Ustick Rd Ste 101
Boise, ID 83704-5754
Phone: (208) 514-4740
Fax: (208) 376-7012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiology Clinic/Center (primary) Taxonomy 261QR0200X · Licence 4-D-2095 (ID)

Record details

NPI number1437178399
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Braden Stauts — Owner/Partner · (208) 514-4740
NPI enumeratedJuly 19, 2006
Last updated in NPPESAugust 22, 2020
Mailing address8119 Ustick Rd, Suite 101, Boise, ID 83704-5754

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