Western Pathology Associates LLC

NPI #1366653800 in Pocatello, Idaho

Provider Information

NPI Number
1366653800
Entity Type
Organization
Organization Name
Western Pathology Associates LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
May 25, 2007
Last Updated
Mar 5, 2010

Practice Location

Address
1950 E CLARK ST STE D
State
Idaho
ZIP Code
83201-3314
Phone
(208) 233-3794

Authorized Official

Name
MRS. CELENE MARIE ROBERTS, MHRTD
Title
OFFICE MANAGER
Phone
(208) 233-3794

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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