Organization
MEDICAL IMAGING ASSOC OF IDAHO FALLS, PA
Active
Parent organization
MEDICAL IMAGING ASSOCIATES OF IDAHO FALLS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL IMAGING ASSOCIATES OF IDAHO FALLS
Authorized official
KAREN MARIE VAUGHN (AUTHORIZED OFFICIAL)
(330) 309-6984
Entity
Organization
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 227-2600
Mailing address
PO BOX 85495, CHICAGO, IL 60689-5495
(208) 715-5220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
08/01/2007
Last updated
03/23/2026
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