Intermountain Medical Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

INTERMOUNTAIN MEDICAL IMAGING LLC

Practice address

875 S Vanguard Way Ste 100
Meridian, ID 83642-8541

Phone

(208) 954-8100

Fax

(208) 947-3322

NPI assigned

Mar 19, 2024

Last updated

Aug 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Norman Hames

Title

Ceo

Phone

(585) 218-8015

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, OR, VA, GA, TX, WA, MA, NV, UT, MN, WI, AK12 enrollments

Enrollment records 12

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Intermountain Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Eagle, ID
  • NPI 1326247511

  O20090130000423, O20140210001568, O20230605002415, O20250131000764, O20250911003595, O20250916000462, O20250916002778, O20250919003294, O20250925003077, O20260116002195, O20260129001083, O20260331004140

  Same enrollment
• Intermountain Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Boise, ID
  • NPI 1669423679

  O20090130000423, O20140210001568, O20230605002415, O20250131000764

  Same enrollment
• Intermountain Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Meridian, ID
  • NPI 1679520415

  O20090130000423, O20140210001568, O20230605002415, O20250131000764, O20250911003595, O20250916000462, O20250916002778, O20250919003294, O20250925003077, O20260116002195, O20260129001083, O20260331004140

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael D Hardesty, PA-C

  • Surgical Physician Assistant
  • Boise, ID
  • NPI 1912035999
  NPD
• Jordan Christopher Soutas, DO

  • Diagnostic Radiology Physician
  • Boise, ID
  • NPI 1730717265
  NPD
• Scott Berl

  • Diagnostic Radiology Physician
  • Richmond, VA
  • NPI 1235422619
  NPD
• Jeffrey Collins Markham, MD

  • Diagnostic Radiology Physician
  • Corinth, TX
  • NPI 1487858569
  NPD
• Matthew Shutske

  • Diagnostic Radiology Physician
  • Silverdale, WA
  • NPI 1235171547
  NPD
• Sanford Smoot, MD

  • Diagnostic Radiology Physician
  • Lexington, MA
  • NPI 1720072697
  NPD
• Micheal George Adondakis, MD

  • Diagnostic Radiology Physician
  • Boise, ID
  • NPI 1003306754
  NPD (past)
• Joshua Paul Jarman, MD

  • Diagnostic Radiology Physician
  • Boise, ID
  • NPI 1912205675
  NPD (past)
• Jesse W Spinner, MD

  • Diagnostic Radiology Physician
  • Boise, ID
  • NPI 1033641030
  NPD (past)
• Stephen Patrick Winter, MD

  • Diagnostic Radiology Physician
  • Boise, ID
  • NPI 1669961835
  NPD (past)
• Laura Linstroth

  • Diagnostic Radiology Physician
  • Salt Lake City, UT
  • NPI 1629411335
  NPD (past)
• Evan Narasimhan, M.D.

  • Diagnostic Radiology Physician
  • Seattle, WA
  • NPI 1447613542
  NPD (past)

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1598524696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4568",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084568",
            "telephone_number": "208-991-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S VANGUARD WAY STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428541",
            "telephone_number": "208-954-8100",
            "fax_number": "208-947-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "HAMES",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "585-218-8015"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Diagnostic Radiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.