Ifi Biz, Inc

Primary specialty

Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X

License

4D2095 Issued in ID

Legal business name

IFI BIZ, INC

Doing business as

Idaho Facial Imaging

Practice address

8119 W Ustick Rd Ste 101
Boise, ID 83704-5754

Phone

(208) 514-4740

NPI assigned

Sep 13, 2016

Organization subpart

No

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

Authorized official

Name

Ellie Beukelman

Title

Owner/Operator

Phone

(208) 514-4740

Specialties & licenses 1

Addresses

Other names 1

• Idaho Facial Imaging Doing business as

Locations

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1497203905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8119 W USTICK RD STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045754",
            "telephone_number": "208-514-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8119 W USTICK RD STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045754",
            "telephone_number": "208-514-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFI BIZ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "BEUKELMAN",
        "authorized_official_first_name": "ELLIE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "208-514-4740"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "ID",
            "license": "4D2095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Idaho Facial Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Radiologic Technologist in Boise, ID
• Providers in Boise, ID by specialty
• Radiologic Technologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.