| NPI | 1699784413 |
|---|---|
| Doing Business As | SNAKE RIVER CARDIOVASCULAR & PULMONARY LABORATORY |
| Entity Type | Organization |
| Authorized Contact | MARK L MILLER President 208-529-2498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |