Optimum Labworks LLC
NPI #1487179719 in Bonners Ferry, Idaho
Provider Information
- NPI Number
- 1487179719
- Entity Type
- Organization
- Organization Name
- Optimum Labworks LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Aug 8, 2017
- Last Updated
- Mar 10, 2020
Practice Location
- Address
- 6885 BAUMAN ST
- City
- Bonners Ferry
- State
- Idaho
- ZIP Code
- 83805-8723
- Phone
- (208) 991-0480
Authorized Official
- Name
- JOHN WILLIAM BAISDEN
- Title
- CEO
- Phone
- (208) 991-0480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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