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

Pathology Associates of Idaho Falls P A

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1497723241

Pathology Associates of Idaho Falls P A is an Anatomic Pathology & Clinical Pathology Physician in Idaho Falls, Idaho. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone: (208) 529-6050
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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 number1497723241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matt Tannenbaum — President · (208) 529-6050
NPI enumeratedMarch 9, 2006
Last updated in NPPESMarch 6, 2020
Certification dateMarch 6, 2020
Mailing address3100 Channing Way, Idaho Falls, ID 83404-7533

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