Eastern Idaho Laboratory Consultants Llc

LBN: Eastern Idaho Laboratory Consultants Llc
Eastern Idaho Laboratory Consultants Llc is an health care organization with primary practice located at 3100 Channing Way , Idaho Falls ID 83404-7533. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Eastern Idaho Laboratory Consultants Llc can be contacted via phone (208) 259-6111, or through Daines, Clark via phone (208) 529-6111.

Contact Information

Primary practice address
3100 Channing Way Idaho Falls ID 83404-7533
Phone: (208) 259-6111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Daines, Clark Doctor of Medicine (MD)
Phone: (208) 529-6111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1043060536
LBN Legal business name Eastern Idaho Laboratory Consultants Llc
DBA Doing business as
Authorized official Daines, Clark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2024
Last updated Mar 28th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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