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

Idaho Pathology Laboratory

Organization Clinical Medical Laboratory · NPI 1205195484

Idaho Pathology Laboratory is a Clinical Medical Laboratory in Blackfoot, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012

Practice location Address checks out

98 Poplar St
Blackfoot, ID 83221-1758
Phone: (208) 785-4100
Fax: (208) 785-8959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 13D0056444 (ID)

Record details

NPI number1205195484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Louis Kraml — Ceo · (208) 785-3801
NPI enumeratedMay 9, 2012
Last updated in NPPESMay 9, 2012
Mailing address98 Poplar St, Blackfoot, ID 83221-1758

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