NPI 1295917375

United Drug Testing Laboratory, INC

Organisation Clinical Medical Laboratory Boise, ID

Practice location

Address: 1010 N Orchard St Suite 8, Boise, ID 83706-2270
Phone: (208) 331-4097
Fax: (208) 331-4095

Authorised official

Name: Benjamin G Baker
Title: Owner
Phone: (704) 405-3970

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 13D1026723 (ID)

Other Clinical Medical Laboratory providers in Idaho →

Registry record

NPI: 1295917375
Entity type: Organization
NPI issued: 30 Nov 2007
Record last updated: 21 May 2009

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.