P Praxis·MD
● Active Type 2 · Organization

Pathology Associates Of Idaho Falls P A

Pathology·Idaho Falls, ID· NPI 1497723241 · Enumerated 2006 · 20 years on NPI
Pathology Associates Of Idaho Falls P A is 1 of 44 pathology organizations in Idaho.
NPI age
20 years
Enumerated 2006-03-09
Primary specialty
Pathology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tannenbaum
President
Last NPPES update
2020-03-06
Source: monthly bulk 2026-05

How this organization compares

Across 44 active pathology providers in Idaho.

NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-03Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
3100 Channing Way
Idaho Falls, ID 834047533
📞 2085296050
Mailing address
3100 Channing Way
Idaho Falls, ID 834047533
📞 2085296111

Authorized official

Matt Tannenbaum, MD
President
📞 2085296050

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Pathology Primary
    A 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...
    taxonomy 207ZP0102X

Identifiers

TypeValueNotes
05 (ID) 002346700
01 (ID) 88971 BLUE CROSS OF ID
01 (ID) 000010026929 REGENCE BLUE SHIELD ID

Practice context

Multi-provider organization. 20 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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