NPI 1144271131

Idx Pathology PA

Organisation Clinical Medical Laboratory Boise, ID

Practice location

Address: 1151 Miller St, Boise, ID 83702-6965
Phone: (208) 377-1969
Mailing address: PO Box 9589, Boise, ID 83707-4589

Authorised official

Name: Michael J Myhre
Title: Owner
Phone: (208) 377-1969

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Idaho →

Registry record

NPI: 1144271131
Entity type: Organization
NPI issued: 13 May 2006
Record last updated: 15 Nov 2007

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.