Organization
ADVANCED OPEN IMAGING BOISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK PARKER JONES (CO-MANAGER)
(425) 771-8161
Entity
Organization
Contact information
Practice address
3581 EAST OVERLAND RD, MERIDIAN, ID 83642
(208) 846-7494
(208) 846-7496
Mailing address
PO BOX 1355, LYNNWOOD, WA 98046-1355
(425) 771-8161
(425) 771-7929
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010146760
REGENCE
ID
01
—
8J133
BLUE CROSS
ID
Enumeration date
12/29/2006
Last updated
08/22/2020
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