NPI 1801390521

Local Lab LLC

Organisation Clinical Medical Laboratory Hayden, ID

Practice location

Address: 8382 N Wayne Dr STE 201, Hayden, ID 83835-6028
Phone: (208) 714-0478
Fax: (855) 485-5234

Authorised official

Name: Morgana Samora
Title: Manager
Phone: (208) 929-2234

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 13 (ID)

Other Clinical Medical Laboratory providers in Idaho →

Registry record

NPI: 1801390521
Entity type: Organization
NPI issued: 19 Mar 2018
Record last updated: 12 Sep 2018

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.