IDAHO CYTOGENETICS DIAGNOSTIC LAB

BOISE, ID
NPI1891811931
Entity TypeOrganization
Authorized ContactSANDI K BEACH
Billing Manager
509-755-8700
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2007-03-21
Last Update Date2020-08-22
Business Address
IDAHO CYTOGENETICS DIAGNOSTIC LAB
2220 OLD PENITENTIARY RD STE 16
BOISE, ID 83712-8249
Phone number: 208-376-8585
Mailing Address
IDAHO CYTOGENETICS DIAGNOSTIC LAB
PO BOX 78
BOISE, ID 83707-0078
Phone number: 208-376-8585
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