NPI 1760730436

Ada West Dermatopathology, LLC

Organisation Clinical Medical Laboratory Meridian, ID

Practice location

Address: 1618 Millenium Way STE 220, Meridian, ID 83642-6439
Phone: (208) 884-3376
Fax: (208) 884-0858

Authorised official

Name: Colleen Jones
Title: Cfo
Phone: (208) 884-3376

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence P1629 (ID)

Other Clinical Medical Laboratory providers in Idaho →

Registry record

NPI: 1760730436
Entity type: Organization
NPI issued: 28 Aug 2012
Record last updated: 18 May 2026

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.