Standup MRI of Boise, LLC

Primary specialty

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

Legal business name

STANDUP MRI OF BOISE, LLC

Practice address

2082 S Eagle Rd
Meridian, ID 83642-6707

Phone

(208) 884-8745

Fax

(208) 884-8746

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Peter Solodko

Title

Ceo

Phone

(909) 887-8788

Specialties & licenses 1

Addresses

Other names 1

• Boise Upright MRI Doing business as

Locations

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902848591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90875",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924271875",
            "telephone_number": "909-887-8788",
            "fax_number": "909-887-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2082 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426707",
            "telephone_number": "208-884-8745",
            "fax_number": "208-884-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDUP MRI OF BOISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLODKO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-887-8788"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boise Upright MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawn Stadlbauer, DC
• Alexis Staeb, LMSW, CCLS, CFLE
• James Porter Stagg, DO
• Audrey Jean Staley
• Stallones Mobility LLC
• Jennifer R Stanley, LPC
• Taylor Stansbury, MS CF-SLP
• Star Anesthesia LLC
• Elliot Starcevich, OTR/L
• Taylor Victoria Starr, DO

• Magnetic Resonance Imaging (MRI) Clinic/Center in Meridian, ID
• Providers in Meridian, 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 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.