Mini-Cassia Misdemeanor
Mini-Cassia Misdemeanor is a Clinical Medical Laboratory in Burley, Idaho. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1359 Hansen AveBurley, ID 83318-1821
Phone: (208) 878-7361
Fax: (208) 878-2434
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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 |
|---|
Record details
| NPI number | 1457984981 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Cassia County |
| Authorized official | Amber Prewitt — Director · (208) 878-7361 |
| NPI enumerated | February 12, 2020 |
| Last updated in NPPES | February 12, 2020 |
| Certification date | February 12, 2020 |
| Mailing address | 1359 Hansen Ave, Burley, ID 83318-1821 |
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