# MOUNTAIN VALLEY IMAGING PARTNERS

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

## Provider details

- **NPI number:** 1770167736
- **Authorized official:** MR. KEVIN LECKINGTON (CEO)
- **Authorized official phone:** (208) 221-7974

## Contact information

- **Practice address:** 1951 BENCH RD STE F, POCATELLO, ID 83201-2073
- **Practice address phone:** (208) 237-0977
- **Practice address fax:** (208) 237-0985
- **Mailing address:** 1452 N 610 E, SHELLEY, ID 83274-5075
- **Mailing address phone:** (208) 221-7974
- **Mailing address fax:** (208) 237-0985

## Taxonomy

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

## Other

- **Enumeration date:** 05/06/2021
- **Last updated:** 05/06/2021