STATE OF IDAHO

Clinical Medical Laboratory

Active Organization
NPI: 1790841781

Practice Address

700 EAST ALICE
Blackfoot, ID 83221

Phone: (208) 785-8429

Specialties

Specialty Code Primary License
Clinical Medical Laboratory 291U00000X Yes -

Frequently Asked Questions

NPI 1790841781 is the National Provider Identifier for STATE OF IDAHO, a Clinical Medical Laboratory provider located in Blackfoot, ID. This NPI was enumerated on December 28, 2006.

Quick Facts

NPI
1790841781
Type
Organization
Enumerated
Dec 28, 2006
Last Updated
Aug 22, 2020

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