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

Teton Nuclear Medicine Service LLC

Organization Nuclear Cardiology Physician · NPI 1265612543

Teton Nuclear Medicine Service LLC is a Nuclear Cardiology Physician in Idaho Falls, Idaho. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2001 S Woodruff Ave Ste 20
Idaho Falls, ID 83404-6374
Phone: (208) 525-3201
Show map & directions

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

Specialties & licences

Nuclear Imaging & Therapy Physician (primary) Taxonomy 207UN0902X
Nuclear Cardiology Physician Taxonomy 207UN0901X

Record details

NPI number1265612543
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danny Davis — Manager · (208) 525-3201
NPI enumeratedNovember 5, 2007
Last updated in NPPESNovember 5, 2007
Mailing address2001 S Woodruff Ave, Ste 20, Idaho Falls, ID 83404-6374