| NPI | 1407893993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOU ANN LAZZARINI Administative Supervisor 208-798-3635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: ID I033) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-03-02 |