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

Innovative Medical Imaging, PLLC

Organization Diagnostic Radiology Physician · NPI 1962015776

Innovative Medical Imaging, PLLC is a Diagnostic Radiology Physician in Twin Falls, Idaho. Registered with an NPI since 2020.

In the registry since
2020
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

512 Pole Line Rd Ste 1
Twin Falls, ID 83301-6367
Phone: (208) 735-5555
Fax: (208) 735-5556
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1962015776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephan Thiede — Authorized Official · (541) 334-7550
NPI enumeratedAugust 31, 2020
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing addressPo Box 1614, Evansville, IN 47706-0016

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