Ada West Dermatopathology, LLC
Ada West Dermatopathology, LLC is a Clinical Medical Laboratory in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2012.
- Licensed in
- ID
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1618 Millenium Way Ste 220Meridian, ID 83642-6439
Phone: (208) 884-3376
Fax: (208) 884-0858
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence P1629 (ID) |
|---|
Record details
| NPI number | 1760730436 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Ada West Dermatology, PC |
| Authorized official | Colleen Jones — Cfo · (208) 884-3376 |
| NPI enumerated | August 28, 2012 |
| Last updated in NPPES | May 18, 2026 |
| Certification date | May 18, 2026 |
| Mailing address | 1618 Millenium Way, Ste 220, Meridian, ID 83642-6439 |
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