Organization · Type 2 NPI

Idaho State University

Clinical Medical Laboratory · Pocatello, ID

NPI number 1295105567 Active

Practice location

970 S 5th Ave, Stop 8288
Pocatello, ID 83209-0001

Mailing address

921 S 8th Ave, Stop 8288
Pocatello, ID 83209-0001

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000XNone listed

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 1295105567

Idaho State University's National Provider Identifier is 1295105567, issued on Sep 30, 2015. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Pocatello, ID. The record was last updated on Sep 30, 2015.