NPI 1336490119

Idaho Pathology Laboratory Physicians

Organisation Clinical Medical Laboratory Pocatello, ID

Practice location

Address: 777 Hospital Way, Pocatello, ID 83201
Phone: (208) 232-7666
Fax: (208) 232-2334
Mailing address: 7069 Running Iron Ln, Pocatello, ID 83204-3816

Authorised official

Name: Kristopher a McGee
Title: Owner of Business
Phone: (208) 690-0364

Registered specialties (2)

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence M11025 (ID)

Other Clinical Medical Laboratory providers in Idaho →

Clinical Medical Laboratory

Laboratories Taxonomy 291U00000X Licence M11088 (ID)

Registry record

NPI: 1336490119
Entity type: Organization
NPI issued: 20 Sep 2012
Record last updated: 12 Jun 2013

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.