NPI age
19 years
Enumerated 2006-08-08
Across 9 active physiological laboratory providers in Idaho.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807391800 | |
| 01 (ID) | 000010153937 | BLUE SHIELD OF IDAHO |
| 01 (ID) | 8M795 | BLUE CROSS OF IDAHO |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 20 individual providers on file at this primary address.
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