| NPI | 1699963397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA TIBBITS Administration 208-785-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: ID P003) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2008-02-01 |