Landbank Laboratories, LLC

NPI #1730550377 in Idaho Falls, Idaho

Provider Information

NPI Number
1730550377
Entity Type
Organization
Organization Name
Landbank Laboratories, LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Oct 8, 2015
Last Updated
Oct 8, 2015

Practice Location

Address
1020 LAND BANK ST
Address 2
SUITE B
State
Idaho
ZIP Code
83402-1809
Phone
(208) 522-6155

Authorized Official

Name
DAVID PINEGAR
Title
OWNER
Phone
(208) 522-6155

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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