JACQUELINE M BABOL
NPI 1114382553
Durable Medical Equipment & Medical Supplies in Kellogg, ID

Active since December 30, 2015CLIA 50D1090215 · Waiver
740 MCKINLEY AVE, KELLOGG, ID 83837(509) 928-8181 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline M Babol NPPES

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

JACQUELINE M BABOL (NPI 1114382553) is a healthcare organization registered as a durable medical equipment & medical supplies in Kellogg, Idaho and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jacqueline M Babol, Owner- Doctor, as its authorized official.

NPPES Registry Identity

NPI1114382553
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameFOOT AND ANKLE CLINIC OF SPOKANE INC
Location Address740 MCKINLEY AVEKellogg, ID 83837-2693
Mailing Address9116 E Sprague Ave # 278Spokane Valley, WA 99206-3601 · (509) 928-8181
Organization SubpartNo
Authorized OfficialJacqueline M BabolOwner- Doctor · (509) 928-8181
Enumeration DateDecember 30, 2015
NPI 1114382553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in ID · P218
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X · License P218 (ID)
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X · License P218 (ID)
740 MCKINLEY AVE, Kellogg, ID 83837

Other Names 1

Other NameJacqueline M Babol

Other Identifiers 1

Medicare PIN20007262ID

CLIA Laboratory Certificates CMS CLIA

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 Waiver 50D1090215

Foot And Ankle Clinic Of Spokane · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D1090215
Laboratory TypeAmbulance
Certificate Effective DateOctober 6, 2008
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJacqueline Babol, Dpm
Laboratory Phone(509) 928-8181
Laboratory LocationFoot And Ankle Clinic Of Spokane205 N University Rd Ste 4, Spokane, WA 99206
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Nurse Practitioner (Family)
740 MCKINLEY AVE
KELLOGG, ID 83837
Social Worker (Clinical)
740 MCKINLEY AVE
KELLOGG, ID 83837
Family Medicine
740 MCKINLEY AVE
KELLOGG, ID 83837
Clinic/Center (Medical Specialty)
740 MCKINLEY AVE
KELLOGG, ID 83837
Orthopaedic Surgery
740 MCKINLEY AVE
KELLOGG, ID 83837
Case Manager/Care Coordinator
740 MCKINLEY AVE
KELLOGG, ID 83837
Pharmacist
740 MCKINLEY AVE
KELLOGG, ID 83837
Surgery
740 MCKINLEY AVE
KELLOGG, ID 83837

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 Foot And Ankle Clinic Of Spokane Inc's NPI number?

The NPI number for Foot And Ankle Clinic Of Spokane Inc is 1114382553. It was assigned to this organization in the NPPES registry on December 30, 2015. The provider is also known as Jacqueline M Babol.

Where is Foot And Ankle Clinic Of Spokane Inc located?

Foot And Ankle Clinic Of Spokane Inc is located at 740 Mckinley Ave, Kellogg, ID 83837. The listed phone number is (509) 928-8181.

What is Foot And Ankle Clinic Of Spokane Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Foot And Ankle Clinic Of Spokane Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1090215) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Foot And Ankle Clinic Of Spokane Inc was last updated on December 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.