P Praxis·MD
● Active Type 2 · Organization

Southern Idaho Regional Laboratory Llc

Clinical Medical Laboratory·Boise, ID· NPI 1730165838 · Enumerated 2005 · 20 years on NPI
Southern Idaho Regional Laboratory Llc is 1 of 75 clinical medical laboratory organizations in Idaho.
NPI age
20 years
Enumerated 2005-12-20
Primary specialty
Clinical Medical Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rogers
Cfo
Last NPPES update
2010-01-06
Source: monthly bulk 2026-05

How this organization compares

Across 75 active clinical medical laboratory providers in Idaho.

NPI age
20 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2005 → 2026

2005-12Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
1055 N Curtis Rd
Boise, ID 837061309
📞 8005748854
Mailing address
Box 2693
Spokane, WA 99220
📞 8005748854

Authorized official

Kurt Rogers
Cfo
📞 5097558903

Individual providers at this organization

20 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

Identifiers

TypeValueNotes
05 (ID) 805437200

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Treasure Valley Laboratory
    Type code 3 recorded 2005-12-20

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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