Local Lab Llc

LBN: Local Lab Llc
Local Lab Llc is an health care organization with primary practice located at 8382 N Wayne Dr Ste 201 , Hayden ID 83835-6028. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Local Lab Llc can be contacted via phone (208) 714-0478, or through Samora, Morgana via phone (208) 929-2234.

Contact Information

Primary practice address
8382 N Wayne Dr Ste 201 Hayden ID 83835-6028
Fax: (855) 485-5234
Website:
Authorized official contact:
Name: Samora, Morgana

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 13 Idaho

Profile Details

NPI number 1801390521
LBN Legal business name Local Lab Llc
DBA Doing business as
Authorized official Samora, Morgana
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2018
Last updated Sep 12th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801390521 NPPES
Idaho Other 13D2141188 CLIA ID

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