# MEDICAL IMAGING ASSOC OF IDAHO FALLS, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDICAL IMAGING ASSOCIATES OF IDAHO FALLS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043400484
- **Legal business name:** MEDICAL IMAGING ASSOCIATES OF IDAHO FALLS
- **Authorized official:** KAREN MARIE VAUGHN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (330) 309-6984

## Contact information

- **Practice address:** 777 HOSPITAL WAY, POCATELLO, ID 83201-5175
- **Practice address phone:** (208) 227-2600
- **Mailing address:** PO BOX 85495, CHICAGO, IL 60689-5495
- **Mailing address phone:** (208) 715-5220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 08/01/2007
- **Last updated:** 03/23/2026