NPI age
5 years
Enumerated 2020-10-27
● Active Type 2 · Organization
Boise State University
Boise State University is 1 of 75 clinical medical laboratory organizations in Idaho.
Primary specialty
Clinical Medical Laboratory
Plus 1 secondary
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Hudon
Clinical Lab Manager
Last NPPES update
2023-10-12
Source: monthly bulk 2026-05
How this organization compares
Across 75 active clinical medical laboratory providers in Idaho.
NPI age
5 years
↓ 9 yr below median
Practice locations
3
2 secondary on file
Subspecialties
1
In the 4% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-10Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
2133 W Cesar Chavez Ln Rm 239
Boise, ID 837250001
Mailing address
1910 University Dr # MS 1515
Boise, ID 837250002
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
2100 W University Dr Room 109
Boise, ID 837250001
Location 3
2100 W University Dr Room 1007
Boise, ID 837250001
Authorized official
Stephanie Hudon, PHD
Clinical Lab Manager
📞 2089953765
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...
-
Public Health or WelfareDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Boise State University Clinical Laboratory
-
Boise State University Clinical Laboratory
Practice context
Multi-site organization. 2 additional practice locations 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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