| NPI | 1194969725 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2009-04-27 |
| Last Updated | 2026-01-05 |
| Authorized Official | Michael Hodel General Manager Phone: 2085425000 |
| Mailing Address | Po Box 30015, Dept 594 Salt Lake City, UT 84130-0015 United States Phone: (800) 475-6236 | Fax: (706) 596-6712 📍 View Map |
| Primary Practice Address | 2001 S Woodruff Ave Ste 17 Idaho Falls, ID 83404-6372 United States Phone: (208) 524-7237 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 2085B0100X – Radiology, Body Imaging | - | - |
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About NPI 1194969725
Teton Radiology Diagnostic, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1194969725. The primary specialty listed is Radiology, Body Imaging. The organization is located in Idaho Falls, ID. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-04-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1194969725?
NPI 1194969725 belongs to Teton Radiology Diagnostic, Llc, a Radiology, Body Imaging in Idaho Falls, ID. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1194969725 active?
The current status of NPI 1194969725 in the NPPES registry is Active. The record was last updated on 2026-01-05.
What specialty is NPI 1194969725?
NPI 1194969725 is classified under the taxonomy Radiology, Body Imaging. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1194969725?
You can verify NPI 1194969725 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1194969725?
The primary practice address on file for NPI 1194969725 is 2001 S Woodruff Ave Ste 17, Idaho Falls, ID 83404-6372. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1194969725 issued?
NPI 1194969725 was first issued (enumerated) on 2009-04-27. The NPPES record was last updated on 2026-01-05.
Practice Location Map
Teton Radiology Diagnostic, Llc is located at 2001 S Woodruff Ave Ste 17, Idaho Falls, ID. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Teton Radiology Diagnostic, Llc. All records sourced from the CMS NPPES registry.