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

Phoenix Radiology, PLLC

Organization Diagnostic Radiology Physician · NPI 1164493334

Phoenix Radiology, PLLC is a Diagnostic Radiology Physician in Lewiston, Idaho. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
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

415 6th St
Lewiston, ID 83501-2431
Phone: (208) 799-5335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X
Diagnostic Radiology Physician Taxonomy 2085R0202X

Record details

NPI number1164493334
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Peterson — Owner · (208) 743-4393
NPI enumeratedJanuary 27, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address531 4th Ave, Lewiston, ID 83501-2450

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