Mountain Telerad, PLLC
Mountain Telerad, PLLC is a Radiologic Technologist in Caldwell, Idaho. Registered with an NPI since 2007.
- In the registry since
- 2007
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4519 Enterprise WayCaldwell, ID 83605
Phone: (208) 455-7482
Fax: (208) 455-7538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Radiologic Technologist (primary) | Taxonomy 247100000X |
|---|
Record details
| NPI number | 1821280371 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Micheal Johnson — Owner · (208) 455-7482 |
| NPI enumerated | August 17, 2007 |
| Last updated in NPPES | August 17, 2007 |
| Mailing address | 141 Victor Gust Dr, Mountain Home, ID 83647-1654 |