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Organization
STANDUP MRI OF BOISE, LLC
Active
Organization
STANDUP MRI OF BOISE, LLC
Active
Other names
Boise Upright MRI
Organization subpart
No
Provider details
NPI number
Authorized official
PETER SOLODKO (CEO)
(909) 887-8788
Entity
Organization
Contact information
Practice address
2082 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 884-8745
(208) 884-8746
Mailing address
PO BOX 90875, SAN BERNARDINO, CA 92427-1875
(909) 887-8788
(909) 887-6345
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/11/2006
Last updated
08/22/2020
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