Organization
MOUNTAIN VALLEY IMAGING PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN LECKINGTON (CEO)
(208) 221-7974
Entity
Organization
Contact information
Practice address
1951 BENCH RD STE F, POCATELLO, ID 83201-2073
(208) 237-0977
(208) 237-0985
Mailing address
1452 N 610 E, SHELLEY, ID 83274-5075
(208) 221-7974
(208) 237-0985
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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