Eastern Idaho Laboratory Consultants LLC
Eastern Idaho Laboratory Consultants LLC is an Anatomic Pathology & Clinical Pathology Physician in Idaho Falls, Idaho. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3100 Channing WayIdaho Falls, ID 83404-7533
Phone: (208) 259-6111
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
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X |
|---|
Record details
| NPI number | 1043060536 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Clark Daines — Manager · (208) 529-6111 |
| NPI enumerated | March 26, 2024 |
| Last updated in NPPES | March 28, 2024 |
| Certification date | March 28, 2024 |
| Mailing address | 5700 Southwyck Blvd, Toledo, OH 43614-1509 |
Other providers in Idaho Falls
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Clark R Daines, MD
3100 Channing Way, Idaho Falls, ID 83404-7533 · (208) 529-6050
-
Gary Earl Ellwein, MD
3100 Channing Way, Idaho Falls, ID 83404-7533 · (208) 529-6050
-
Floyd Joseph Fantelli, MD
3100 Channing Way, Idaho Falls, ID 83404-7533 · (208) 529-6050
-
Pathology Associates of Idaho Falls P A
3100 Channing Way, Idaho Falls, ID 83404-7533 · (208) 529-6050
-
Matt Tannenbaum, MD
3100 Channing Way, Idaho Falls, ID 83404-7533 · (208) 529-6050