Idaho Pathology Laboratory Physicians

NPI #1336490119 in Pocatello, Idaho

Provider Information

NPI Number
1336490119
Entity Type
Organization
Organization Name
Idaho Pathology Laboratory Physicians
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Sep 20, 2012
Last Updated
Jun 12, 2013

Practice Location

Address
777 HOSPITAL WAY
State
Idaho
ZIP Code
83201
Phone
(208) 232-7666

Authorized Official

Name
DR. KRISTOPHER A MCGEE, M.D., FCAP
Title
OWNER OF BUSINESS
Phone
(208) 690-0364

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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Provider Name
Idaho State University

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