NPI age
2 years
Enumerated 2024-03-26
● Active Type 2 · Organization
Eastern Idaho Laboratory Consultants Llc
Eastern Idaho Laboratory Consultants Llc is 1 of 44 pathology organizations in Idaho.
Primary specialty
Pathology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Daines
Manager
Last NPPES update
2024-03-28
Source: monthly bulk 2026-05
How this organization compares
Across 44 active pathology providers in Idaho.
NPI age
2 years
↓ 17 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-03Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
3100 Channing Way
Idaho Falls, ID 834047533
Mailing address
5700 Southwyck Blvd
Toledo, OH 436141509
Authorized official
Clark Daines, M.D.
Manager
📞 2085296111
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Mary Achim-Thibodaux, MD Student in an Organized Health Care Education/Training Program NPI 1497457196
- Danial Ali Student in an Organized Health Care Education/Training Program NPI 1902744196
- Tausha Allen Internal Medicine NPI 1558822379
- Anita Alvarez, RN,BSN,PCCN,SANE-A Registered Nurse NPI 1821932567
- Braden Amann, DO Student in an Organized Health Care Education/Training Program NPI 1720936057
- Joseph Anderson, DO Emergency Medicine NPI 1326025396
- Taylor Anderson Student in an Organized Health Care Education/Training Program NPI 1962104133
- Bryce Arnold, D.O. Hospitalist NPI 1225564925
- Dawnett Arrowood, RD,LD Dietitian, Registered NPI 1497029102
- Shannielle Baird, NP-C Nurse Practitioner NPI 1376068759
- Ella Baker, MD Internal Medicine NPI 1396475380
- Eric Baler Physician Assistant NPI 1851935662
- Christine Barber Nurse Practitioner NPI 1033754395
- Murray Barrus, DO Student in an Organized Health Care Education/Training Program NPI 1588465967
- Jed Bartschi, PA-C Physician Assistant NPI 1083793699
- Vincen Bateman, CRNA Nurse Anesthetist, Certified Registered NPI 1235168774
- David Behrmann, MD Radiology NPI 1609037340
- Richard Bentley, M.D. Radiology NPI 1770781932
- Michael Biddulph, MD Radiology NPI 1760561310
- Dirk Bigler, D.O. Radiology NPI 1457304776
Specialties
-
Pathology PrimaryA 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...
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.