| NPI | 1770183089 |
|---|---|
| Other Name | BOISE STATE UNIVERSITY CLINICAL LABORATORY |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HUDON Clinical Lab Manager 208-995-3765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2023-10-12 |