Medical Lab Service in Burley - Clinical Medical Laboratory
Medical Lab Service - NPI 1487789343
Medical Lab Service is a Clinical Medical Laboratory in Burley, Idaho. Medical Lab Service practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Medical Lab Service is 1487789343. The last update date is 2008-12-09.
Medical Lab Service's current location address is 1501 Hiland Ave, Burley, Idaho. You can contact this provider via phone number 2086785215 and fax number 2086781472. The mailing address for Medical Lab Service is 1501 Hiland Ave, Burley, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medical Lab Service |
|---|---|
| Address | 1501 Hiland Ave, Burley, Idaho |
| Phone Number | 2086785215 |
| Fax Number | 2086781472 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Wells L Wendell |
| Credentials | MD |
| Telephone Number | 2086788899 |
NPI Number Detail
| NPI Number | 1487789343 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2008-12-09 |
Provider Mailing Address Detail
| Address | 1501 Hiland Ave |
|---|---|
| City | Burley |
| State | Idaho (ID) |
| Post Code | 833182682 |
| Phone Number | 2086785215 |
| Fax Number | 2086781472 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | PO33 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 808196400 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Medical Lab Service by the Centers for Medicare & Medicaid Services?
The Medical Lab Service has been issued the NPI (National Provider Identifier) 1487789343 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Medical Lab Service's facilities are geographically located?
The facilities of Medical Lab Service are physically situated at the following location: 1501 Hiland Ave, Burley, ID, 833182682.
What is Medical Lab Service's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Medical Lab Service's specialized field of practice is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this area of specialization is 291U00000X.
On what date was the 1487789343 assigned to Medical Lab Service?
The Medical Lab Service was issued its 1487789343 on 2007-02-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Medical Lab Service's details last updated?
The information pertaining to the Medical Lab Service, including its address, specialty, and other details, was most recently updated on 2008-12-09.
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