Southern Idaho Regional Laboratory LLC

NPI #1508256041 in Ontario, Oregon

Provider Information

NPI Number
1508256041
Entity Type
Organization
Organization Name
Southern Idaho Regional Laboratory LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHERN IDAHO REGIONAL LABORATORY LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Feb 4, 2015
Last Updated
Feb 4, 2015

Practice Location

Address
335 SW 13TH ST
State
Oregon
ZIP Code
97914-4547
Phone
(541) 889-4513

Authorized Official

Name
CLARRISSA WILLETT
Title
CFO
Phone
(509) 755-8903

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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