Teton Radiology Diagnostic a Series of Teton Group Enterprise
Teton Radiology Diagnostic a Series of Teton Group Enterprise is a Body Imaging Physician in Idaho Falls, Idaho. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 10
Practice location Address checks out
2001 S Woodruff Ave Ste 17Idaho Falls, ID 83404-6372
Phone: (208) 524-7237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Body Imaging Physician (primary) | Taxonomy 2085B0100X |
|---|---|
| Neuroradiology Physician | Taxonomy 2085N0700X |
| Nuclear Radiology Physician | Taxonomy 2085N0904X |
| Pediatric Radiology Physician | Taxonomy 2085P0229X |
| Radiation Oncology Physician | Taxonomy 2085R0001X |
| Diagnostic Radiology Physician | Taxonomy 2085R0202X |
| Therapeutic Radiology Physician | Taxonomy 2085R0203X |
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X |
| Radiological Physics Physician | Taxonomy 2085R0205X |
| Diagnostic Ultrasound Physician | Taxonomy 2085U0001X |
Record details
| NPI number | 1013085604 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Hodel — General Manager · (208) 542-5000 |
| Other names | Teton Radiology; Teton Radiology Diagnostic Llc |
| NPI enumerated | December 1, 2006 |
| Last updated in NPPES | January 5, 2026 |
| Certification date | January 5, 2026 |
| Mailing address | Po Box 30015, Dept 594, Salt Lake City, UT 84130-0015 |
Other providers in Idaho Falls
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Teton Radiology Diagnostic, LLC
2001 S Woodruff Ave Ste 17, Idaho Falls, ID 83404-6372 · (208) 524-7237