National Provider Identifier Database

PATHOLOGY ASSOCIATES OF IDAHO FALLS P A
Anatomic Pathology & Clinical Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.


Contact Information

PATHOLOGY ASSOCIATES OF IDAHO FALLS P A
3100 CHANNING WAY
IDAHO FALLS, ID83404-7533
Phone: 208-529-6050
Fax:
Website:
Specialty Taxonomy Code
* Anatomic Pathology & Clinical Pathology 207ZP0102X

* Indicates primary specialty

NPI Profile & details for PATHOLOGY ASSOCIATES OF IDAHO FALLS P A

NPI Number 1497723241
Legal business name
LBN
PATHOLOGY ASSOCIATES OF IDAHO FALLS P A
Authorized official MATT TANNENBAUM - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/09/2006
Last updated 03/06/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • ID Medicaid: 002346700
  • ID Other: 88971 BLUE CROSS OF ID
  • ID Other: 000010026929 REGENCE BLUE SHIELD ID

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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