Organization · Type 2 NPI
Revitalize Medical Supply
Clinical Medical Laboratory · Idaho Falls, ID
Practice location
1680 Elk Creek Dr # 2
Idaho Falls, ID 83404-1225
Mailing address
4954 E Powerhouse Dr
Idaho Falls, ID 83406-5064
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Medical Laboratory Primary | 291U00000X | None 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 1508533209
Revitalize Medical Supply's National Provider Identifier is 1508533209, issued on Aug 30, 2021. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jan 17, 2025.