Organization · Type 2 NPI

Idaho Pathology Laboratory

Clinical Medical Laboratory · Blackfoot, ID

NPI number 1205195484 Active

Practice location

98 Poplar St
Blackfoot, ID 83221-1758

Fax (208) 785-8959

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000X13D0056444 (ID)

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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About NPI 1205195484

Idaho Pathology Laboratory's National Provider Identifier is 1205195484, issued on May 9, 2012. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Blackfoot, ID. The record was last updated on May 9, 2012.