IDAHO PATHOLOGY LABORATORY
Organization (NPI-2)
Active
Clinical Medical Laboratory
Provider Information
- NPI Number
1205195484- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 98 POPLAR ST, BLACKFOOT, ID, 832211758
- Phone
- (208) 785-4100
- Fax
- (208) 785-8959
Specialties & Taxonomies
Clinical Medical Laboratory
Primary License: ID #13D0056444