| NPI | 1326553421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH FOBES Director Of Operations 208-755-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: ID 13D2141188) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |