Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boise State University

Organization Public Health or Welfare Agency · NPI 1770183089

Boise State University is a Public Health or Welfare Agency in Boise, Idaho. Works from 3 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

2133 W Cesar Chavez Ln Rm 239
Boise, ID 83725-0001
Phone: (208) 426-1038
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2100 W University Dr Room 1007, Boise, ID 83725-0001 — (208) 426-2969
  • 2100 W University Dr Room 109, Boise, ID 83725-0001 — (208) 426-1523

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X
Public Health or Welfare Agency Taxonomy 251K00000X

Record details

NPI number1770183089
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Hudon — Clinical Lab Manager · (208) 995-3765
Other names Boise State University Clinical Laboratory; Boise State University Clinical Laboratory
NPI enumeratedOctober 27, 2020
Last updated in NPPESOctober 12, 2023
Certification dateFebruary 21, 2023
Mailing address1910 University Dr # Ms 1515, Boise, ID 83725-0002