Blackfoot Medical Clinic Inc in Blackfoot - Clinical Medical Laboratory
Blackfoot Medical Clinic Inc - NPI 1699963397
Blackfoot Medical Clinic Inc is a Clinical Medical Laboratory in Blackfoot, Idaho. Blackfoot Medical Clinic Inc practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Blackfoot Medical Clinic Inc is 1699963397. The last update date is 2008-02-01.
Blackfoot Medical Clinic Inc's current location address is 1441 Parkway Dr, Blackfoot, Idaho. You can contact this provider via phone number 2087852600. The mailing address for Blackfoot Medical Clinic Inc is 1441 Parkway Dr, Blackfoot, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blackfoot Medical Clinic Inc |
|---|---|
| Address | 1441 Parkway Dr, Blackfoot, Idaho |
| Phone Number | 2087852600 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Tibbits Sheila |
| Telephone Number | 2087852600 |
NPI Number Detail
| NPI Number | 1699963397 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2008-02-01 |
Provider Mailing Address Detail
| Address | 1441 Parkway Dr |
|---|---|
| City | Blackfoot |
| State | Idaho (ID) |
| Post Code | 832211667 |
| Phone Number | 2087852600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | P003 |
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Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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What is the Blackfoot Medical Clinic Inc's 1699963397?
The Blackfoot Medical Clinic Inc's NPI (National Provider Identifier) Number is 1699963397. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Blackfoot Medical Clinic Inc is physically located?
The Blackfoot Medical Clinic Inc is situated at the following address: 1441 Parkway Dr, Blackfoot, ID 832211667.
What is Blackfoot Medical Clinic Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Blackfoot Medical Clinic Inc's area of specialization is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this field of practice is 291U00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699963397 to Blackfoot Medical Clinic Inc?
The Blackfoot Medical Clinic Inc received its 1699963397 assignment from the Centers for Medicare & Medicaid Services on 2007-10-09.
As of what date were the details pertaining to Blackfoot Medical Clinic Inc last refreshed?
The information related to the Blackfoot Medical Clinic Inc, including its address, specialty, and other relevant details, was last updated on 2008-02-01.
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