NPI age
8 years
Enumerated 2018-03-19
● Active Type 2 · Organization
Local Lab Llc
Local Lab Llc 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
Samora
Manager
Last NPPES update
2018-09-12
Source: monthly bulk 2026-05
How this organization compares
Across 75 active clinical medical laboratory providers in Idaho.
NPI age
8 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-03Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
8382 N Wayne Dr Ste 201
Hayden, ID 838356028
Mailing address
8382 N Wayne Dr Ste 201
Hayden, ID 838356028
Authorized official
Morgana Samora
Manager
📞 2089292234
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Carol Lowry, ACADC Counselor NPI 1689311045
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) | 13D2141188 | CLIA ID |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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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.