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

Jordan Ridge Family Medicine LLC

Organization Mobile Radiology Clinic/Center · NPI 1578277950

Jordan Ridge Family Medicine LLC is a Mobile Radiology Clinic/Center in Boise, Idaho. Registered with an NPI since 2023.

In the registry since
2023
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

322 E Frnt ST
Boise, ID 83702-7374
Phone: (385) 274-3959
Fax: (385) 274-3970
Show map & directions

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

Specialties & licences

Mobile Radiology Clinic/Center (primary) Taxonomy 261QR0208X

Record details

NPI number1578277950
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emily Castillo — Manager · (702) 480-2550
Other names Mobile Unit-Idaho
NPI enumeratedJanuary 10, 2023
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

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