| NPI | 1063807626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCI CAYWOOD Vice President 208-724-3318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: ID 109245) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2016-06-01 |