NPI 1457984981

Mini-Cassia Misdemeanor

Organisation Clinical Medical Laboratory Burley, ID

Practice location

Address: 1359 Hansen Ave, Burley, ID 83318-1821
Phone: (208) 878-7361
Fax: (208) 878-2434

Authorised official

Name: Amber Prewitt
Title: Director
Phone: (208) 878-7361

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Idaho →

Registry record

NPI: 1457984981
Entity type: Organization
NPI issued: 12 Feb 2020
Record last updated: 12 Feb 2020

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.