Organization · Type 2 NPI

Ada West Dermatopathology, LLC

Clinical Medical Laboratory · Meridian, ID

NPI number 1760730436 Active

Practice location

1618 Millenium Way, Ste 220
Meridian, ID 83642-6439

Call (208) 884-3376 Map

Fax (208) 884-0858

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000XP1629 (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 1760730436

Ada West Dermatopathology, LLC's National Provider Identifier is 1760730436, issued on Aug 28, 2012. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Meridian, ID. The record was last updated on May 18, 2026.