1. Home
  2. Directory
  3. Idaho
  4. Falls
  5. Pathology
  6. NPI Profile

EASTERN IDAHO LABORATORY CONSULTANTS LLC
NPI 1043060536
Pathology - Anatomic Pathology & Clinical Pathology in Idaho Falls, ID

Active since March 26, 2024
3100 CHANNING WAY, IDAHO FALLS, ID 83404(208) 259-6111 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastern Idaho Laboratory Consultants Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN IDAHO LABORATORY CONSULTANTS LLC (NPI 1043060536) is a healthcare organization registered as an anatomic pathology & clinical pathology in Idaho Falls, Idaho and active in the NPI registry since March 2024. The organization lists Clark Daines, Manager, as its authorized official.

NPPES Registry Identity

NPI1043060536
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameEASTERN IDAHO LABORATORY CONSULTANTS LLC
Location Address3100 CHANNING WAYIdaho Falls, ID 83404-7533
Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325
Phone(208) 259-6111
Organization SubpartNo
Authorized OfficialClark DainesManager · (208) 529-6111
Enumeration DateMarch 26, 2024
Last NPPES UpdateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
✔ NPI 1043060536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

3100 CHANNING WAY, Idaho Falls, ID 83404
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARL SAMUEL BRAYTON DO
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (714) 616-4454
REED D LOERTSCHER CRNA
Nurse Anesthetist, Certified Registered
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-6285
ALEXIS R SIDDOWAY NP
Nurse Practitioner (Neonatal)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4432
UNIVERSITY OF UTAH ADULT SERVICES
Internal Medicine (Nephrology)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (801) 581-2121
MR. VENKATA KALYAN C BYRAPOGU MD
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 970-1123
TAYLOR JAMES CARSON
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 670-0407
NOOR ASHRAF NASSEF DO
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-6111
DR. ALAN B WRAY M.D.
Radiology (Diagnostic Radiology)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 227-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Idaho Laboratory Consultants LLC's NPI number?

The NPI number for Eastern Idaho Laboratory Consultants LLC is 1043060536. It was assigned to this organization in the NPPES registry on March 26, 2024.

Where is Eastern Idaho Laboratory Consultants LLC located?

Eastern Idaho Laboratory Consultants LLC is located at 3100 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 259-6111.

What is Eastern Idaho Laboratory Consultants LLC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Eastern Idaho Laboratory Consultants LLC was last updated on March 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.