Idaho State University
NPI #1295105567 in Pocatello, Idaho
Provider Information
- NPI Number
- 1295105567
- Entity Type
- Organization
- Organization Name
- Idaho State University
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BENGAL LABORATORY
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Sep 30, 2015
- Last Updated
- Sep 30, 2015
Practice Location
Authorized Official
- Name
- JAMES A. FLETCHER
- Title
- VICE PRESIDENT OF FINANCE & ADMIN.
- Phone
- (208) 282-3540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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