NPI age
19 years
Enumerated 2006-08-18
● Active Type 2 · Organization
Teton Microbiology Laboratory
Teton Microbiology Laboratory 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
Rogers
President Owner
Last NPPES update
2012-04-10
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 · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
258 N Water Ave, Suite 2
Idaho Falls, ID 834024057
Mailing address
258 N Water Ave, Ste. 2
Idaho Falls, ID 834024057
Authorized official
Rhyanna Kay Rogers
President Owner
📞 2085290077
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) | 8B164 | BLUE CROSS |
| 01 (ID) | 22387 | BLUE SHIELD |
| 05 (ID) | 807270200 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.