Idx Pathology PA

NPI #1144271131 in Boise, Idaho

Provider Information

NPI Number
1144271131
Entity Type
Organization
Organization Name
Idx Pathology PA
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
May 13, 2006
Last Updated
Nov 15, 2007

Practice Location

Address
1151 MILLER ST
City
Boise
State
Idaho
ZIP Code
83702-6965
Phone
(208) 377-1969

Authorized Official

Name
MICHAEL J MYHRE, MD
Title
OWNER
Phone
(208) 377-1969

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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