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ICRM PC
NPI 1063551174
Obstetrics & Gynecology - Reproductive Endocrinology in Boise, ID

Active since February 05, 2007CLIA Certified · 2 labs
111 MAIN ST, SUITE 100, BOISE, ID 83702(208) 342-5900(208) 342-2088 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Icrm Pc NPPES

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

ICRM PC (NPI 1063551174) is a healthcare organization registered as a reproductive endocrinology in Boise, Idaho and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Genie T Andrews, Bus Admin, as its authorized official.

NPPES Registry Identity

NPI1063551174
Entity TypeOrganization
Primary Taxonomy207VE0102X
Legal Business NameIDAHO CENTER FOR REPRODUCTIVE MEDICINE PC
Location Address111 MAIN ST, SUITE 100Boise, ID 83702-7307
Mailing Address111 Main St, Suite 100Boise, ID 83702-7307 · (208) 342-5900 · Fax (208) 342-2088
Phone(208) 342-5900
Fax(208) 342-2088
Organization SubpartNo
Authorized OfficialGenie T AndrewsBus Admin · (208) 342-5900
Enumeration DateFebruary 5, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063551174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
Licenses✔ Licensed in ID · M7577✔ Licensed in ID · M8614
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
111 MAIN ST, Boise, ID 83702
Open in Google Maps ↗

Other Names 1

Other NameIcrm Pc

Other Identifiers 3

Other513COID · Blue Cross Dr Foulk
Other8G189ID · Blue Cross Clinic
Other51292ID · Blue Cross Dr Slater

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 13D2274578

Idaho Center For Reproductive Medicine · Meridian, ID
Active · expires Apr 25, 2028
CLIA Number13D2274578
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2026
Certificate Expiration DateApril 25, 2028
Laboratory DirectorKimberly A. Larocque
Laboratory Phone(208) 342-5900
Laboratory LocationIdaho Center For Reproductive Medicine3875 E Overland Rd Ste 103, Meridian, ID 83642
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 13D0959153

Idaho Center For Reproductive Medicine · Boise, ID
Active · expires Dec 3, 2026
CLIA Number13D0959153
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2024
Certificate Expiration DateDecember 3, 2026
Laboratory DirectorKimberly Larocque
Laboratory Phone(208) 342-5900
Laboratory LocationIdaho Center For Reproductive Medicine1000 E Park Blvd Ste 110, Boise, ID 83712
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

CRISTIN C SLATER MD
Obstetrics & Gynecology (Reproductive Endocrinology)
111 MAIN ST, #100
BOISE, ID 83702
Ada County (208) 342-5900

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 Idaho Center For Reproductive Medicine PC's NPI number?

The NPI number for Idaho Center For Reproductive Medicine PC is 1063551174. It was assigned to this organization in the NPPES registry on February 5, 2007. The provider is also known as Icrm PC.

Where is Idaho Center For Reproductive Medicine PC located?

Idaho Center For Reproductive Medicine PC is located at 111 Main St Suite 100, Boise, ID 83702. The listed phone number is (208) 342-5900.

What is Idaho Center For Reproductive Medicine PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Does Idaho Center For Reproductive Medicine PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Idaho Center For Reproductive Medicine PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.