NPI age
19 years
Enumerated 2007-03-07
● Active Type 2 · Organization
Idaho Department Of Health And Welfare, Bureau Of Laboratories
Idaho Department Of Health And Welfare, Bureau Of Laboratories is 1 of 75 clinical medical laboratory organizations in Idaho.
Primary specialty
Clinical Medical Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shaw-Tulloch
Division Administrator & State Heal
Last NPPES update
2019-10-24
Source: monthly bulk 2026-05
How this organization compares
Across 75 active clinical medical laboratory providers in Idaho.
NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2220 Old Penitentiary Rd
Boise, ID 837128299
Mailing address
2220 Old Penitentiary Rd
Boise, ID 837128299
Authorized official
Elke Shaw-Tulloch, MHS
Division Administrator & State Heal
📞 2083346996
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Anne Spencer, M.S., C.G.C Genetic Counselor, MS NPI 1053396671
Specialties
-
Clinical Medical Laboratory Primary(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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 87320 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010007987 | BLUE SHIELD REGENCE |
| 05 (ID) | 0028335 |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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