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Organization

PORTABLE XRAY OF IDAHO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROL TOOMEY (MEMBER)
(702) 645-2606
Entity
Organization

Contact information

Practice address
2399 S ORCHARD ST, BOISE, ID 83705-3793
(702) 395-5011
Mailing address
5538 DUNCAN DR, LAS VEGAS, NV 89130-2812
(702) 645-2606
(702) 645-2874

Taxonomy

Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary

Other

Enumeration date
01/25/2006
Last updated
08/22/2020
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