NPI 1366653800

Western Pathology Associates LLC

Organisation Clinical Medical Laboratory Pocatello, ID

Practice location

Address: 1950 E Clark St STE D, Pocatello, ID 83201-3314
Phone: (208) 233-3794
Fax: (208) 233-3795
Mailing address: PO Box 2537, Pocatello, ID 83206-2537

Authorised official

Name: Celene Marie Roberts
Title: Office Manager
Phone: (208) 233-3794

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 207ZP0102X (ID)

Other Clinical Medical Laboratory providers in Idaho →

Registry record

NPI: 1366653800
Entity type: Organization
NPI issued: 25 May 2007
Record last updated: 5 Mar 2010

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.