NPI 1205195484
Idaho Pathology Laboratory
Practice location
- Address
- 98 Poplar St, Blackfoot, ID 83221-1758
- Phone
- (208) 785-4100
- Fax
- (208) 785-8959
Authorised official
- Name
- Louis Kraml
- Title
- Ceo
- Phone
- (208) 785-3801
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1205195484
- Entity type
- Organization
- NPI issued
- 9 May 2012
- Record last updated
- 9 May 2012
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.