NPI 1043060536

Eastern Idaho Laboratory Consultants LLC

Organisation Anatomic Pathology & Clinical Pathology Physician Idaho Falls, ID

Practice location

Address: 3100 Channing Way, Idaho Falls, ID 83404-7533
Phone: (208) 259-6111
Mailing address: 5700 Southwyck Blvd, Toledo, OH 43614-1509

Authorised official

Name: Clark Daines
Title: Manager
Phone: (208) 529-6111

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X

Other Pathology providers in Idaho →

Registry record

NPI: 1043060536
Entity type: Organization
NPI issued: 26 Mar 2024
Record last updated: 28 Mar 2024

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.