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Imaging Center of Idaho, LLC

Radiology Clinic/Center in Caldwell, ID · enumerated 2007 · authorized official Gregory Clark, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801090204

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Imaging Center of Idaho, LLC
Practice address 4519 Enterprise Wy, Caldwell, ID, 83605
Fax (208) 455-7538
Enumeration date Jun 12, 2007
Last updated in NPPES Nov 8, 2007

Taxonomy & classification

2471B0102X Bone Densitometry Radiologic Technologist Technologists, Technicians & Other Technical Service Providers Secondary
2471C3401X Computed Tomography Radiologic Technologist Technologists, Technicians & Other Technical Service Providers Secondary
2471C3402X Radiography Radiologic Technologist Technologists, Technicians & Other Technical Service Providers Secondary
2471M1202X Magnetic Resonance Imaging Radiologic Technologist Technologists, Technicians & Other Technical Service Providers Secondary
2471M2300X Mammography Radiologic Technologist Technologists, Technicians & Other Technical Service Providers Secondary
2471S1302X Sonography Radiologic Technologist Technologists, Technicians & Other Technical Service Providers Secondary
261QM1200X Magnetic Resonance Imaging (MRI) Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0200X Radiology Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Gregory Clark
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Imaging Center of Idaho, LLC?
The NPI for Imaging Center of Idaho, LLC is 1801090204, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Imaging Center of Idaho, LLC?
NPPES lists Gregory Clark (Ceo) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-08.