Teton Microbiology Laboratory
NPI #1396859567 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1396859567
- Entity Type
- Organization
- Organization Name
- Teton Microbiology Laboratory
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Aug 18, 2006
- Last Updated
- Apr 10, 2012
Practice Location
- Address
- 258 N WATER AVE
- Address 2
- SUITE 2
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-4057
- Phone
- (208) 529-0077
Authorized Official
- Name
- MS. RHYANNA KAY ROGERS
- Title
- PRESIDENT OWNER
- Phone
- (208) 529-0077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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