Teton Microbiology Laboratory in Idaho Falls - Clinical Medical Laboratory
Teton Microbiology Laboratory - NPI 1396859567
Teton Microbiology Laboratory is a Clinical Medical Laboratory in Idaho Falls, Idaho. Teton Microbiology Laboratory practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Teton Microbiology Laboratory is 1396859567. The last update date is 2012-04-10.
Teton Microbiology Laboratory's current location address is 258 N Water Ave, Idaho Falls, Idaho. You can contact this provider via phone number 2085290077 and fax number 2085223797. The mailing address for Teton Microbiology Laboratory is 258 N Water Ave, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Teton Microbiology Laboratory |
|---|---|
| Address | 258 N Water Ave, Idaho Falls, Idaho |
| Phone Number | 2085290077 |
| Fax Number | 2085223797 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Rogers Kay Rhyanna |
| Telephone Number | 2085290077 |
NPI Number Detail
| NPI Number | 1396859567 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2012-04-10 |
Provider Mailing Address Detail
| Address | 258 N Water Ave |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834024057 |
| Phone Number | 2085290077 |
| Fax Number | 2085223797 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
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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 |
|---|---|---|---|
| 8B164 | ID | BLUE CROSS | |
| 22387 | ID | BLUE SHIELD | |
| 807270200 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Teton Microbiology Laboratory by the Centers for Medicare & Medicaid Services?
The Teton Microbiology Laboratory has been assigned the NPI (National Provider Identifier) 1396859567 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Teton Microbiology Laboratory is physically located?
The Teton Microbiology Laboratory is situated at the following address: 258 N Water Ave, Idaho Falls, ID 834024057.
What is Teton Microbiology Laboratory's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Teton Microbiology Laboratory is Clinical Medical Laboratory, and the corresponding taxonomy classification code for this specialized field is 291U00000X.
On what date did the Teton Microbiology Laboratory receive the assignment of its 1396859567 from the Centers for Medicare & Medicaid Services?
The Teton Microbiology Laboratory was issued its 1396859567 by the Centers for Medicare & Medicaid Services on 2006-08-18.
As of what date were the details related to Teton Microbiology Laboratory most recently updated or revised?
The information pertaining to Teton Microbiology Laboratory, including its address, specialty, and other relevant details, was last updated or revised on 2012-04-10.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA