Express Lab

LBN: Rm Lab Llc
Express Lab is an health care organization with primary practice located at 2220 E 25Th St , Idaho Falls ID 83404-7542. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Rm Lab Llc can be contacted via phone (208) 529-8330, or through Crofts, Von via phone (208) 523-1122.

Contact Information

Primary practice address
2220 E 25Th St Idaho Falls ID 83404-7542
Phone: (208) 529-8330
Fax: (208) 523-3318
Website:
Map and Directions
Authorized official contact:
Name: Crofts, Von
Phone: (208) 523-1122

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 13D0520868 Idaho

Profile Details

NPI number 1659301349
LBN Legal business name Rm Lab Llc
DBA Doing business as Express Lab
Authorized official Crofts, Von
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Oct 2nd, 2014 - about 12 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 1659301349 NPPES
Idaho MEDICAID 806230600

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