Provider Demographics
NPI:1497203905
Name:IFI BIZ, INC
Entity Type:Organization
Organization Name:IFI BIZ, INC
Other - Org Name:IDAHO FACIAL IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEUKELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-514-4740
Mailing Address - Street 1:8119 W USTICK RD STE 101
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-5754
Mailing Address - Country:US
Mailing Address - Phone:208-514-4740
Mailing Address - Fax:
Practice Address - Street 1:8119 W USTICK RD STE 101
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-5754
Practice Address - Country:US
Practice Address - Phone:208-514-4740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID4D20952471C3401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471C3401XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistComputed TomographyGroup - Single Specialty