Organization
QUALITY MEDICAL IMAGING OF IDAHO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER C FASELT (PRESIDENT)
(702) 839-1133
Entity
Organization
Contact information
Practice address
1420 E 3RD AVE STE 203, POST FALLS, ID 83854-7580
(866) 508-4870
(866) 627-4071
Mailing address
2490 PROFESSIONAL CT, SUITE 110, LAS VEGAS, NV 89128-0835
(702) 839-1133
(702) 629-4711
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
12/31/2013
Last updated
10/25/2021
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