| NPI | 1295105567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A. FLETCHER Vice President Of Finance & Admin. 208-282-3540 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |