P Praxis·MD
● Active Type 2 · Organization

Tea Obs Llc

Clinic/Center·Meridian, ID· NPI 1962123315 · Enumerated 2022 · 3 years on NPI
Tea Obs Llc is 1 of 99 clinic/center organizations in Idaho.
NPI age
3 years
Enumerated 2022-09-05
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Crooke
Administrator
Last NPPES update
2023-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 99 active clinic/center providers in Idaho.

NPI age
3 years
↓ 15 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 11% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-09Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
2620 S Eagle Rd
Meridian, ID 836426704
📞 2083425151
Mailing address
2620 S Eagle Rd
Meridian, ID 836426704
📞 2083425151

Authorized official

David Crooke
Administrator
📞 2083425151

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QA1903X
  • Clinic/Center
    Definition to come...
    taxonomy 261QS0132X

Practice context

Single-site organization. Only one practice location on file.

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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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