Mountain Valley Imaging Partners

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

MOUNTAIN VALLEY IMAGING PARTNERS

Practice address

1951 Bench Rd Ste F
Pocatello, ID 83201-2073

Phone

(208) 237-0977

Fax

(208) 237-0985

NPI assigned

May 6, 2021

Last updated

May 6, 2021By 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

Mr. Kevin Leckington

Title

Ceo

Phone

(208) 221-7974

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

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.

• Justin A Lamb, D.O.

  • Diagnostic Radiology Physician
  • Idaho Falls, ID
  • NPI 1417915430
  NPD
• Lance Spencer Longmore, D.O.

  • Clinical Cardiac Electrophysiology Physician
  • Pocatello, ID
  • NPI 1447266267
  NPD

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1770167736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 N 610 E",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832745075",
            "telephone_number": "208-221-7974",
            "fax_number": "208-237-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 BENCH RD STE F",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012073",
            "telephone_number": "208-237-0977",
            "fax_number": "208-237-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VALLEY IMAGING PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "LECKINGTON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-221-7974",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Moses
• Mother Nurture Lactation Consulting LLC
• Mountain Healing Counseling LLC
• Mountain Valley Health Services (Mountain Valley)
• Mountain Valley Hospice, Inc
• Mountain View Family Medicine, Inc
• Mountain View Hospital LLC (Pain and Spine Specialists of Idaho)
• Julia Lancaster Muckerman, CNM, MSN
• Terri L Muegerl, LMSW
• Sasha Marie Mueller

• Magnetic Resonance Imaging (MRI) Clinic/Center in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.