Eastern Idaho Laboratory Consultants LLC
NPI #1043060536 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1043060536
- Entity Type
- Organization
- Organization Name
- Eastern Idaho Laboratory Consultants LLC
- Primary Specialty
- Pathology - Anatomic Pathology & Clinical Pathology
- Enumeration Date
- Mar 26, 2024
- Last Updated
- Mar 28, 2024
Practice Location
- Address
- 3100 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7533
- Phone
- (208) 259-6111
Authorized Official
- Name
- CLARK DAINES, M.D.
- Title
- MANAGER
- Phone
- (208) 529-6111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology |
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