Drug Test of Idaho LLC
NPI #1073909016 in Boise, Idaho
Provider Information
- NPI Number
- 1073909016
- Entity Type
- Organization
- Organization Name
- Drug Test of Idaho LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Apr 7, 2015
- Last Updated
- Apr 7, 2015
Practice Location
Authorized Official
- Name
- MR. DARRELL WICKHAM
- Title
- OWNER
- Phone
- (208) 429-1445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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