Idaho Department of Health and Welfare, Bureau of Laboratories
Idaho Department of Health and Welfare, Bureau of Laboratories is a Clinical Medical Laboratory in Boise, Idaho. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2220 Old Penitentiary RdBoise, ID 83712-8299
Phone: (208) 334-2235
Fax: (208) 334-4765
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Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X |
|---|
Record details
| NPI number | 1023148038 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Elke Shaw-Tulloch — Division Administrator & State Heal · (208) 334-6996 |
| NPI enumerated | March 7, 2007 |
| Last updated in NPPES | October 24, 2019 |
| Mailing address | 2220 Old Penitentiary Rd, Boise, ID 83712-8299 |
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