Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STATE OF IDAHO
Active OrganizationSTATE OF IDAHO is a Clinical Medical Laboratory organization located in BLACKFOOT, Idaho. NPI 1790841781 is currently active in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · BLACKFOOT, ID
Registration Details
- NPI Number
- 1790841781
- Provider Type
- Organization
- NPI Issued
- Dec 28, 2006 (19.66195990008 yrs)
- Last Updated
- Aug 22, 2020
Practice Information
- Address
-
700 EAST ALICEBLACKFOOT, ID, 83221Browse ID providers · Browse ZIP 83221
- Phone
- 2087858429
- Fax
- 2087858439
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
Other Clinical Medical Laboratory Organizations in BLACKFOOT, ID
| Name | NPI |
|---|---|
| BLACKFOOT MEDICAL CLINIC INC | 1699963397 |
| IDAHO PATHOLOGY LABORATORY | 1205195484 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.