NPI 1265489785

Diagnostic Health Corporation

Organisation Physiological Laboratory Boise, ID

Practice location

Address: 8800 W Emerald St, Boise, ID 83704-8205
Phone: (208) 373-5012
Fax: (208) 373-5031
Mailing address: 2764 Pelham Pkwy, Pelham, AL 35124-1702

Authorised official

Name: Sheri Miller
Title: Credentialing Manager
Phone: (205) 685-5000

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Idaho →

Registry record

NPI: 1265489785
Entity type: Organization
NPI issued: 29 May 2006
Record last updated: 16 Jul 2008

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.