Organization
EXIGES ULTRASOUND OF IDAHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KOFSTAD (CEO)
(406) 671-8719
Entity
Organization
Contact information
Practice address
1420 E 3RD AVE STE 203, POST FALLS, ID 83854-7580
(888) 480-9048
Mailing address
8800 SE SUNNYSIDE RD STE 214N, CLACKAMAS, OR 97015-5704
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
07/10/2025
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