| NPI | 1730550377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PINEGAR Owner 208-522-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: ID P1621) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |