NPI age
10 years
Enumerated 2015-09-30
● Active Type 2 · Organization
Subpart
Idaho State University
Idaho State University 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
Fletcher
Vice President Of Finance & Admin.
Last NPPES update
2015-09-30
Source: monthly bulk 2026-05
How this organization compares
Across 75 active clinical medical laboratory providers in Idaho.
NPI age
10 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-09Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
970 S 5th Ave, Stop 8288
Pocatello, ID 832090001
Mailing address
921 S 8th Ave, Stop 8288
Pocatello, ID 832090001
Authorized official
James A. Fletcher
Vice President Of Finance & Admin.
📞 2082823540
Individual providers at this organization
1 individual provider on file at this primary practice address.
- John Erramouspe, PHARM.D., M.S. Pharmacist NPI 1164411476
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...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Bengal Laboratory.
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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.