NPI 1073909016

Drug Test of Idaho LLC

Organisation Clinical Medical Laboratory Boise, ID

Practice location

Address: 921 S Orchard St STE a, Boise, ID 83705-1992
Phone: (208) 429-1445
Fax: (208) 429-1705

Authorised official

Name: Darrell Wickham
Title: Owner
Phone: (208) 429-1445

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Idaho →

Registry record

NPI: 1073909016
Entity type: Organization
NPI issued: 7 Apr 2015
Record last updated: 7 Apr 2015

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.