Twin Falls Imaging and Diagnostic Center

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

TWIN FALLS IMAGING AND DIAGNOSTIC CENTER

Practice address

562 Shoup Ave W
Twin Falls, ID 83301-5029

Phone

(208) 732-1205

NPI assigned

Aug 9, 2006

Last updated

Aug 22, 2020By 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

Frederick L Surbaugh, M.D.

Title

Owner

Phone

(208) 734-3455

Specialties & licenses 1

Addresses

Tax ID family

Twin Falls Imaging and Diagnostic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Twin Falls Imaging & Diagnostic Center LLC

  • Clinic/Center
  • Twin Falls, ID
  • NPI 1063540136
  NPD tax ID

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669483509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1808",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833031808",
            "telephone_number": "208-732-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 SHOUP AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015029",
            "telephone_number": "208-732-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN FALLS IMAGING AND DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SURBAUGH",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-734-3455",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twin Falls Dental Group PLLC
• Twin Falls Dental PLLC
• Twin Falls Dermatology & Aesthetics
• Twin Falls Imaging & Diagnostic Center LLC
• Twin Falls Imaging & Diagnostic Center LLC
• Twin Falls Internal Medicine PLLC
• Twin Falls Kids Dental LLC (Childrens Dentistry of Twin Falls)
• Twin Falls of Cascadia, LLC (Twin Falls Transitional Care of Cascadia)
• Twin Falls Orthopedics LLC
• Twin Falls Orthopedics PLLC

• Radiology Clinic/Center in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Radiology Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.