BOBODZHANOV INC (NPI# 1013081058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013081058 |
| Entity Type | Organization |
| Organization Name | BOBODZHANOV INC |
| Other Organization Name | ULTRAECHO |
| Practice Address |
440 W Broderick Dr Meridian ID 83646-6427 |
| Practice Telephone | 2067866936 |
| Practice Fax Number | 2066214176 |
| Mailing Telephone | 2067866936 |
| Mailing Fax Number | 2066214176 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | MR. ALEXI BOBODZHANOV (PRESIDENT CEO) |
| Authorized Official Telephone | 2066214722 |
| Authorized Official Credential | RDMS, RDCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | N/A PORTABLE U/S | WA | Suppliers |
| Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RAILROAD MEDICARE | 47001664 | 01 |
| WA | LABOR AND INDUSTRIES | 0185002 | 01 |
| WA | 7115389 | 05 | |
| WA | REGENCE | 7130BO | 01 |
| WA | GROUP HEALTH COOPERATIVE | 568397002 | 01 |
| Other Name | Type Code |
|---|---|
| Ultraecho | Doing Business As Name - Organization |
| Street Address |
440 W BRODERICK DR |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83646-6427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1356977466 | Tanabell Health Services Inc | Assisted Living Facility | 2584 E Magic View Dr, Meridian, ID 83646 | 2020-03-20 |
| 1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
| 1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
| 1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
| 1609327022 | Finding Home Healthcare, Inc. | Clinic/Center | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 | 2016-10-20 |
| 1952857161 | Mitchell Truong | Pharmacist | 622 E. Ustick Road, Caldwell, ID 83646 | 2016-08-28 |
| 1134511264 | Brittany Laub | Massage Therapist | 2572 N Stokesberry Pl #300, Meridian, ID 83646 | 2015-02-26 |
| 1194117366 | Westfall Ventures, Inc | Health Maintenance Organization | 2572 N. Stokesberry Pl, Meridian, ID 83646 | 2015-02-25 |
| Find all providers in zip 83646 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205274677 | Leah Caroline Godsey | Spec/Tech, Cardiovascular | 2001 S Woodruff Ave Ste 12b, Idaho Falls, ID 83404-6372 | 2013-06-07 |
| 1366422248 | Sandcreek Echo, Inc. | Spec/Tech, Cardiovascular | 2050 E 25th St, Idaho Falls, ID 83404-6490 | 2006-01-18 |
| 1609263482 | Chad Steven Dahle | Spec/Tech, Cardiovascular | 2001 S Woodruff Ave, Suite 12 B, Idaho Falls, ID 83404-6374 | 2015-04-20 |
| 1154429058 | Intermountain Diagnostics, Inc. | Spec/Tech, Cardiovascular | 200 N 4th St, Suite 15, Boise, ID 83702-6001 | 2006-09-21 |
| 1558304923 | Intermountain Diagnostics Inc. | Spec/Tech, Cardiovascular | 200 N 4th St, Suite 15, Boise, ID 83702-6001 | 2006-06-14 |
Please comment or provide details below to improve the information on BOBODZHANOV INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.