Revitalize Medical Supply
Revitalize Medical Supply is a Clinical Medical Laboratory in Idaho Falls, Idaho. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1680 Elk Creek Dr # 2Idaho Falls, ID 83404-1225
Phone: (208) 757-4325
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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 | 1508533209 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Whitney Whitworth — Owner · (208) 589-0821 |
| Other names | Healix Diagnostics |
| NPI enumerated | August 30, 2021 |
| Last updated in NPPES | January 17, 2025 |
| Certification date | January 17, 2025 |
| Mailing address | 4954 E Powerhouse Dr, Idaho Falls, ID 83406-5064 |
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