INTERMOUNTAIN MEDICAL IMAGING LLC
NPI: 1679520415
· MERIDIAN, ID 83642
· Diagnostic Radiology Physician
· NPI assigned 05/27/2006
Provider Details
| Authorized Official | BALDWIN, WAYNE (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 05/27/2006 |
Related Entities
Other providers sharing the same authorized official: BALDWIN, WAYNE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
28 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
28 |
24 |
$3K |