NPI 1093109100

St Lukes Regional Medical Center

Organisation Clinical Medical Laboratory Boise, ID

Practice location

Address: 3176 S Denver Way, Boise, ID 83705-5289
Phone: (208) 706-5000
Mailing address: PO Box 2777, Boise, ID 83701-2777

Authorised official

Name: Jeff Taylor
Title: Treasurer/Cfo
Phone: (208) 381-2520

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 6919 (ID)

Other Clinical Medical Laboratory providers in Idaho →

Registry record

NPI: 1093109100
Entity type: Organization
NPI issued: 26 Mar 2015
Record last updated: 26 Mar 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.