NPI 1457722092

Bear Tooth Laboratory, LLC

Organisation Clinical Medical Laboratory Meridian, ID

Practice location

Address: 1125 E Pine Ave STE B, Meridian, ID 83642-5955
Phone: (801) 350-1716

Authorised official

Name: Jason Douglas Coombs
Title: Owner
Phone: (801) 350-1716

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence P1825 (ID)

Other Clinical Medical Laboratory providers in Idaho →

Registry record

NPI: 1457722092
Entity type: Organization
NPI issued: 8 Oct 2015
Record last updated: 8 Oct 2015

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.