IDX PATHOLOGY PA

BOISE, ID
NPI1144271131
Entity TypeOrganization
Authorized ContactMICHAEL J MYHRE
Owner
208-377-1969
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2006-05-13
Last Update Date2007-11-15
Business Address
IDX PATHOLOGY PA
1151 MILLER ST
BOISE, ID 83702-6965
Phone number: 208-377-1969
Mailing Address
IDX PATHOLOGY PA
PO BOX 9589
BOISE, ID 83707-4589
Phone number: 208-472-8107
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