| Twin Falls Imaging & Diagnostic Center Llc | |
|
562 Shoup Ave W Twin Falls ID 83301-5029 | |
| (208) 732-1205 | |
| (208) 736-2413 |
| Full Name | Twin Falls Imaging & Diagnostic Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 562 Shoup Ave W, Twin Falls, Idaho |
| Authorized Official Name and Position | Frederick L Surbaugh (OWNER) |
| Authorized Official Contact | 2087321205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Falls Imaging & Diagnostic Center Llc 562 Shoup Ave W Twin Falls ID 83301-5029 Ph: (208) 732-1205 | Twin Falls Imaging & Diagnostic Center Llc 562 Shoup Ave W Twin Falls ID 83301-5029 Ph: (208) 732-1205 |
| NPI Number | 1124185053 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124185053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Warren Dopson Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 706 N College Rd Ste A, Twin Falls, ID 83301 Phone: 208-736-8006 Fax: 208-736-8007 | |
Twin Falls Imaging & Diagnostic Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Filer Ave E, Twin Falls, ID 83301 Phone: 208-732-1205 Fax: 208-736-2413 | |
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Gem State Ent, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2114 Village Park Ave # 200, Twin Falls, ID 83301 Phone: 208-804-1717 Fax: 208-804-1707 |