NPIMap

Organization Active NPI

Palouse Imaging Consultants, PLLC

  • Diagnostic Radiology Physician
  • Moscow, ID
National Provider Identifier
1386969285
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PALOUSE IMAGING CONSULTANTS, PLLC
Practice address
220 W 3Rd St
Moscow, ID 83843-2203
Phone
(208) 882-8369
Fax
(208) 882-1887
NPI assigned
Apr 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen Betts
Title
Office Manager
Phone
(208) 882-8369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

220 W 3Rd St
Moscow, ID 83843-2203

Mailing address

PO Box 9583
Moscow, ID 83843-0177
Phone (208) 882-8369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100611000137 WA Part B Supplier - Clinic/Group Practice 9234269648 Receives reassigned benefits from 5 practitioners
Practice locations: Colfax, WA
O20100706000737 ID Part B Supplier - Clinic/Group Practice 9234269648 Receives reassigned benefits from 4 practitioners
Practice locations: Moscow, ID

National Provider Directory

National Provider Directory

Locations

220 W 3rd St
Moscow, ID 83843
Phone (208) 882-8369

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1386969285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9583",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838430177",
            "telephone_number": "208-882-8369",
            "fax_number": "208-882-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W 3RD ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432203",
            "telephone_number": "208-882-8369",
            "fax_number": "208-882-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOUSE IMAGING CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-02",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-882-8369"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.