State of Idaho
State of Idaho is a Clinical Medical Laboratory in Blackfoot, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
Practice location Address checks out
700 E AliceBlackfoot, ID 83221
Phone: (208) 785-8429
Fax: (208) 785-8439
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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 (ID) |
|---|
Record details
| NPI number | 1790841781 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ralph Heckard — Medical Director · (208) 785-8429 |
| Other names | State Hospital South Laboratory |
| NPI enumerated | December 28, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Box 400, 700 East Alice, Blackfoot, ID 83221 |
Other providers in Blackfoot
-
Blackfoot Medical Clinic Inc
1441 Parkway Dr, Blackfoot, ID 83221-1667 · (208) 785-2600
-
Idaho Pathology Laboratory
98 Poplar St, Blackfoot, ID 83221-1758 · (208) 785-4100