# TETON RADIOLOGY MADISON LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407081060
- **Authorized official:** JOHN J STROBEL MD (VP)
- **Authorized official phone:** (208) 542-5000

## Contact information

- **Practice address:** 425 E 4TH N, REXBURG, ID 83440-5390
- **Practice address phone:** (208) 356-4888
- **Mailing address:** PO BOX 30015, DEPT 595, SALT LAKE CITY, UT 84130-0015
- **Mailing address phone:** (800) 475-6236
- **Mailing address fax:** (706) 596-6712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | Yes |
| 2085B0100X | Body Imaging Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2009
- **Last updated:** 01/05/2026