ADVANCED OPEN IMAGING BOISE LLC


Address: 3581 East Overland Rd, Meridian, ID 83642
Phone: 2088467494

ADVANCED OPEN IMAGING BOISE LLC (NPI# 1316003726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316003726
Entity Type Organization
Organization Name ADVANCED OPEN IMAGING BOISE LLC
Practice Address 3581 East Overland Rd
Meridian
ID 83642
Mailing Address Po Box 1355
Lynnwood
WA 98046-1355
Practice Telephone 2088467494
Practice Fax Number 2088467496
Mailing Telephone 4257718161
Mailing Fax Number 4257717929
Enumeration Date 2006-12-29
Last Update Date 2020-08-22
Authorized Official Name MR. MARK PARKER JONES (CO-MANAGER)
Authorized Official Telephone 4257718161
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
ID Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
ID REGENCE 00010146760 01
ID BLUE CROSS 8J133 01

Office Location

Street Address 3581 EAST OVERLAND RD
City MERIDIAN
State ID
Zip Code 83642

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1194378927 Sergey Tsema Occupational Therapist 1259 E Pisa St, Meridian, ID 83642 2019-07-21
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1285293118 Morgan Family Medicine Nurse Practitioner 1660 S Woodsage Avenue, Meridian, ID 83642 2019-06-13
1033772793 Nugen Healthcare, Pllc Registered Nurse 2177 S Spoonbill Ave, Meridian, ID 83642 2019-04-18
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
1114406204 Gem Prep: Meridian LLC Case Management 2750 E.gala Ct., Meridian, ID 83642 2018-08-09
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982042693 Alliance Healthcare Services Inc Clinic/Center 3581 E Overland Rd, Meridian, ID 83642-6757 2013-06-05

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1053305144 Teton Mri of Idaho Falls Clinic/Center 2060 S Woodruff Ave, Idaho Falls, ID 83404-6396 2005-09-06
1982037107 Sjrmc Interventional Radiology Services LLC Clinic/Center 415 6th St, Lewiston, ID 83501-2431 2013-08-12
1659528511 Imaging Center of Idaho, LLC Clinic/Center 4519 Enterprise Way, Caldwell, ID 83605-8086 2008-08-22
1326230590 Cassia Physicians Billing Clinic/Center 1501 Hiland Ave, Burley, ID 83318-2682 2007-08-13
1508991373 Not-tsoo Gah-nee Indiane Health Services Clinic/Center Mission Road, Fort Hall, ID 83203 2007-02-22
1669483509 Twin Falls Imaging and Diagnostic Center Clinic/Center 562 Shoup Ave W, Twin Falls, ID 83301-5029 2006-08-09
1629031760 Swient, LLC Clinic/Center 900 N Liberty St, Suite 305, Boise, ID 83704-8704 2006-04-10
1194798397 Teton Open Mri of Pocatello, LLC Clinic/Center 246 N 18th Ave, Pocatello, ID 83201-3356 2006-02-08
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Competitor

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City MERIDIAN
Zip Code 83642

Improve Information

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Dataset Information

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.

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