NPI 1114227246

Specialty Labs PLLC

Organisation Clinical Medical Laboratory Eagle, ID

Practice location

Address: 951 E Plaza Dr Suite 170, Eagle, ID 83616
Phone: (208) 939-3505
Fax: (939) 939-3507

Authorised official

Name: Tamara Simon
Title: Owner/Lab Director
Phone: (208) 939-3505

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Idaho →

Registry record

NPI: 1114227246
Entity type: Organization
NPI issued: 22 Oct 2010
Record last updated: 22 Oct 2010

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.