# NORTH IDAHO MRI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KOOTENAI MRI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265425029
- **Authorized official:** THOMAS J LEGEL (CFO)
- **Authorized official phone:** (208) 666-2000

## Contact information

- **Practice address:** 825 W IRONWOOD DR, COEUR D ALENE, ID 83814-2673
- **Practice address phone:** (208) 666-3119
- **Practice address fax:** (208) 666-3963
- **Mailing address:** PO BOX 3103, COEUR D ALENE, ID 83816-2525
- **Mailing address phone:** (208) 666-3119
- **Mailing address fax:** (208) 666-3963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2005
- **Last updated:** 12/28/2009