NPI 1699963397

Blackfoot Medical Clinic INC

Organisation Clinical Medical Laboratory Blackfoot, ID

Practice location

Address: 1441 Parkway Dr, Blackfoot, ID 83221-1667
Phone: (208) 785-2600

Authorised official

Name: Sheila Tibbits
Title: Administration
Phone: (208) 785-2600

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence P003 (ID)

Other Clinical Medical Laboratory providers in Idaho →

Registry record

NPI: 1699963397
Entity type: Organization
NPI issued: 9 Oct 2007
Record last updated: 1 Feb 2008

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.