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PURE INFUSION OF IDAHO LLC
NPI 1295680197
Clinic/Center - Multi-Specialty in Boise, ID

Active since March 04, 2026CLIA Certified · 5 labs
5975 W OVERLAND RD, BOISE, ID 83709(208) 488-4998 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jul 15, 2026, Mar 4, 2026 (2 updates tracked since 2026).

About Pure Infusion Of Idaho Llc NPPES

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

PURE INFUSION OF IDAHO LLC (NPI 1295680197) is a healthcare organization registered as a multi-specialty in Boise, Idaho and active in the NPI registry since March 2026. The organization holds 5 active CLIA laboratory certificates, maintains 6 additional practice locations, and lists Rachel Fraga, Vp Of Payer Development, as its authorized official.

NPPES Registry Identity

NPI1295680197
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePURE INFUSION OF IDAHO LLC
Location Address5975 W OVERLAND RDBoise, ID 83709-3012
Mailing Address75 W Towne Ridge Pkwy Ste 500Sandy, UT 84070-5531 · (801) 590-9267
Phone(208) 488-4998
Organization SubpartNo
Authorized OfficialRachel FragaVp Of Payer Development · (801) 590-9267
Enumeration DateMarch 4, 2026
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1295680197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
5975 W OVERLAND RD, Boise, ID 83709
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Secondary Practice Locations 6

Location 13015 E Goldstone Dr Ste 130Meridian, ID 83642-1224 · Phone (888) 209-8874
Location 21411 Falls Ave E Ste 1151ATwin Falls, ID 83301-3455 · Phone (208) 543-7995
Location 311118 Moss LnNampa, ID 83651-8015 · Phone (208) 563-5910
Location 41750 W McMillan Rd Ste 120Meridian, ID 83646-6891 · Phone (208) 900-4480
Location 53423 Merlin DrIdaho Falls, ID 83404-7430 · Phone (208) 217-9099
Location 6916 W Ironwood Dr Ste Ul1Coeur D Alene, ID 83814-2642 · Phone (208) 577-5380

CLIA Laboratory Certificates CMS CLIA 5

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 13D2293360

Pure Infusion Of Meridian · Meridian, ID
Active · expires Nov 6, 2027
CLIA Number13D2293360
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorWayne Kinsey
Laboratory Phone(888) 209-8874
Laboratory LocationPure Infusion Of Meridian1750 W Mcmillian Rd Ste 120, Meridian, ID 83646
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2292321

Pure Infusion Of Layton · Layton, UT
Active · expires Oct 23, 2027
CLIA Number46D2292321
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorWayne Kinsey
Laboratory Phone(888) 209-8874
Laboratory LocationPure Infusion Of Layton1492 W Antelope Dr, Suite 211, Layton, UT 84041
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2292325

Pure Infusion Of St George · St George, UT
Active · expires Oct 23, 2027
CLIA Number46D2292325
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorWayne Kinsey
Laboratory Phone(888) 209-8874
Laboratory LocationPure Infusion Of St George437 S Bluff St, Suite 201, St George, UT 84770
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D2292038

Pure Infusion Of Aurora · Aurora, CO
Active · expires Oct 18, 2027
CLIA Number06D2292038
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorWayne Kinsey
Laboratory Phone(888) 209-8874
Laboratory LocationPure Infusion Of Aurora1411 S Potomac Street, Suite 310, Aurora, CO 80012
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D2292045

Pure Infusion Of Pueblo · Pueblo, CO
Active · expires Oct 18, 2027
CLIA Number06D2292045
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorWayne Kinsey
Laboratory Phone(888) 209-8874
Laboratory LocationPure Infusion Of Pueblo1303 Fortino Blvd, Suite C, Pueblo, CO 81008
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. LUKE CORONE MAYES DC
Chiropractor
5975 W OVERLAND RD
BOISE, ID 83709
Ada County (208) 375-9000
TRAVIS FROGLEY FNP-C
Nurse Practitioner (Family)
5975 W OVERLAND RD
BOISE, ID 83709
Ada County (208) 488-4998
MAYES CHIROPRACTIC, INC
Chiropractor
5975 W OVERLAND RD
BOISE, ID 83709
Ada County (208) 375-9000
PURE HEALTHCARE OF IDAHO LLC
Clinic/Center (Multi-Specialty)
5975 W OVERLAND RD
BOISE, ID 83709
Ada County (208) 488-4998

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 Pure Infusion Of Idaho LLC's NPI number?

The NPI number for Pure Infusion Of Idaho LLC is 1295680197. It was assigned to this organization in the NPPES registry on March 4, 2026.

Where is Pure Infusion Of Idaho LLC located?

Pure Infusion Of Idaho LLC is located at 5975 W Overland Rd, Boise, ID 83709. The listed phone number is (208) 488-4998.

What is Pure Infusion Of Idaho LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Pure Infusion Of Idaho LLC hold CLIA laboratory certificates?

Yes. 5 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 Pure Infusion Of Idaho LLC was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.