Organization
BEDSIDE XRAY SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN UNDERWOOD RT (OWNER)
(208) 489-6600
Entity
Organization
Contact information
Practice address
9460 W FAIRVIEW AVE STE 115, BOISE, ID 83704-8184
(208) 489-6600
(208) 922-7439
Mailing address
1988 N MUMBARTO AVE, BOISE, ID 83713-6009
(208) 489-6600
(208) 922-7439
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010008741
REGENCE BLUE SHIELD
ID
05
—
002593800
—
ID
01
—
8A992
BLUE CROSS
ID
Enumeration date
12/26/2006
Last updated
03/17/2026
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