Bear Tooth Laboratory, LLC

NPI #1457722092 in Meridian, Idaho

Provider Information

NPI Number
1457722092
Entity Type
Organization
Organization Name
Bear Tooth Laboratory, LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Oct 8, 2015
Last Updated
Oct 8, 2015

Practice Location

Address
1125 E PINE AVE
Address 2
STE B
State
Idaho
ZIP Code
83642-5955
Phone
(801) 350-1716

Authorized Official

Name
JASON DOUGLAS COOMBS, MPC
Title
OWNER
Phone
(801) 350-1716

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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