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

Medical Imaging Assoc of Idaho Falls, PA

Organization Physician Assistant · NPI 1043400484

Medical Imaging Assoc of Idaho Falls, PA is a Physician Assistant in Pocatello, Idaho. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

777 Hospital Way
Pocatello, ID 83201-5175
Phone: (208) 227-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1043400484
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedical Imaging Associates of Idaho Falls
Authorized official Karen Vaughn — Authorized Official · (330) 309-6984
NPI enumeratedAugust 1, 2007
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing addressPo Box 85495, Chicago, IL 60689-5495

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