Allied Imaging Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

154319 Issued in CA

Legal business name

ALLIED IMAGING INC

Practice address

2043 E Center St Ste 115
Pocatello, ID 83201-3300

Phone

(208) 904-0498

NPI assigned

Sep 2, 2014

Organization subpart

No

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

Authorized official

Name

Ranae DavisonNPI 1780968313

Title

Authorized Official

Phone

(208) 539-9923

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Tax ID family

Allied Imaging2 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.

• Allied Imaging Inc

  • Diagnostic Ultrasound Physician
  • Pocatello, ID
  • NPI 1841653367
  NPD tax ID

Locations

Practitioners 3

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

• Ranae Davison, RDMS

  • Sonography Radiologic Technologist
  • Boise, ID
  • NPI 1780968313
  NPD Authorized official
• Jacob Paul Pickering, DO

  • Diagnostic Radiology Physician
  • Coeur D Alene, ID
  • NPI 1912240128
  NPD
• Brady W Jones

  • Radiologic Technologist
  • Redding, CA
  • NPI 1326392549
  NPD (past)

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1699175158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 E CENTER ST STE 115",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013300",
            "telephone_number": "208-904-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 E CENTER ST STE 115",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013300",
            "telephone_number": "208-904-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "RANAE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "208-539-9923"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "154319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699175158",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Allen
• Joseph R Allen
• Roby Allen
• Alliance Home Health of Idaho, LLC
• Allied Dental Clinic, PC
• Allied Imaging Inc
• Allies Family Solutions
• Allies Family Solutions
• Allies Family Solutions
• Justin Almond, PHARMD

• All providers in Pocatello, ID
• Radiology Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.