REVITALIZE MEDICAL SUPPLY

Clinical Medical Laboratory

Active Organization
NPI: 1508533209

Practice Address

1680 ELK CREEK DR # 2
Idaho Falls, ID 83404

Phone: (208) 757-4325

Specialties

Specialty Code Primary License
Clinical Medical Laboratory 291U00000X Yes -

Frequently Asked Questions

NPI 1508533209 is the National Provider Identifier for REVITALIZE MEDICAL SUPPLY, a Clinical Medical Laboratory provider located in Idaho Falls, ID. This NPI was enumerated on August 30, 2021.

Quick Facts

NPI
1508533209
Type
Organization
Enumerated
Aug 30, 2021
Last Updated
Jan 17, 2025

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