NPI 1023148038

Idaho Department of Health and Welfare, Bureau of Laboratories

Organisation Clinical Medical Laboratory Boise, ID

Practice location

Address: 2220 Old Penitentiary Rd, Boise, ID 83712-8299
Phone: (208) 334-2235
Fax: (208) 334-4765

Authorised official

Name: Elke Shaw-Tulloch
Title: Division Administrator & State Heal
Phone: (208) 334-6996

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Idaho →

Registry record

NPI: 1023148038
Entity type: Organization
NPI issued: 7 Mar 2007
Record last updated: 24 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.