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Contact Information

EASTERN IDAHO LABORATORY CONSULTANTS LLC
3100 CHANNING WAY
IDAHO FALLS, ID83404-7533
 Phone: 208-259-6111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for EASTERN IDAHO LABORATORY CONSULTANTS LLC · (Female)

NPI # 1043060536
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2024
Last updated 03/28/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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