| NPI | 1942444559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ALLEN WEISKIRCHER Owner 208-407-2831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: ID P705) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |