Organization · Type 2 NPI

Idaho Pathology Laboratory Physicians

Clinical Medical Laboratory · Pocatello, ID

NPI number 1336490119 Active

Practice location

777 Hospital Way
Pocatello, ID 83201

Fax (208) 232-2334

Mailing address

7069 Running Iron Ln
Pocatello, ID 83204-3816

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000XM11025 (ID)
Clinical Medical Laboratory 291U00000XM11088 (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 1336490119

Idaho Pathology Laboratory Physicians's National Provider Identifier is 1336490119, issued on Sep 20, 2012. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Pocatello, ID. The record was last updated on Jun 12, 2013.