Ada West Dermatopathology, LLC
NPI #1760730436 in Meridian, Idaho
Provider Information
- NPI Number
- 1760730436
- Entity Type
- Organization
- Organization Name
- Ada West Dermatopathology, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ADA WEST DERMATOLOGY, PC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Aug 28, 2012
- Last Updated
- Nov 10, 2022
Practice Location
Authorized Official
- Name
- COLLEEN JONES
- Title
- CFO
- Phone
- (208) 884-3376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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