P Praxis·MD
● Active Type 2 · Organization

Specialty Labs Pllc

Clinical Medical Laboratory·Eagle, ID· NPI 1114227246 · Enumerated 2010 · 15 years on NPI
Specialty Labs Pllc is 1 of 75 clinical medical laboratory organizations in Idaho.
NPI age
15 years
Enumerated 2010-10-22
Primary specialty
Clinical Medical Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Simon
Owner/lab Director
Last NPPES update
2010-10-22
Source: monthly bulk 2026-05

How this organization compares

Across 75 active clinical medical laboratory providers in Idaho.

NPI age
15 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-10Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
951 E Plaza Dr, Suite 170
Eagle, ID 83616
📞 2089393505fax 9399393507
Mailing address
951 E Plaza Dr, Suite 170
Eagle, ID 83616
📞 2089393505fax 9399393507

Authorized official

Tamara Simon, MD
Owner/lab Director
📞 2089393505

Individual providers at this organization

7 individual providers on file at this primary practice address.

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...
    taxonomy 291U00000X

Practice context

Multi-provider organization. 7 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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