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1760730436
ADA WEST DERMATOPATHOLOGY, LLC
MERIDIAN, ID
NPI
1760730436
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Entity Type
Organization
Authorized Contact
COLLEEN JONES
CFO
208-884-3376
Organization Subpart ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
(Licence: ID P1629)
Enumeration Date
2012-08-28
Last Update Date
2022-11-10
Business Address
ADA WEST DERMATOPATHOLOGY, LLC
1618 MILLENIUM WAY STE 220
MERIDIAN, ID 83642-6439
Phone number: 208-884-3376
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Mailing Address
ADA WEST DERMATOPATHOLOGY, LLC
1618 MILLENIUM WAY STE 220
MERIDIAN, ID 83642-6439
Phone number: 208-884-3376
Copy
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