MADISON MEMORIAL OUTPATIENT SERVICES
NPI 1316460264
Physiological Laboratory in Rexburg, ID

Active since July 24, 2017
255 N 3RD E STE 200, REXBURG, ID 83440(208) 359-6516 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 9, 2023, Jul 21, 2022, Feb 21, 2020 and 1 more (4 updates tracked since 2017).

About Madison Memorial Outpatient Services NPPES

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

MADISON MEMORIAL OUTPATIENT SERVICES (NPI 1316460264) is a healthcare organization registered as a physiological laboratory in Rexburg, Idaho and active in the NPI registry since July 2017. The organization lists Troy Christensen, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1316460264
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameMADISON CO MEMORIAL HOSPITAL
Location Address255 N 3RD E STE 200Rexburg, ID 83440-1629
Mailing AddressPo Box 700Rexburg, ID 83440-0700 · (208) 359-6516
Organization SubpartYes
Authorized OfficialTroy ChristensenChief Financial Officer · (208) 359-9802
Enumeration DateJuly 24, 2017
Last NPPES UpdateMarch 9, 20234 updates tracked since enumeration
NPPES CertifiedMarch 9, 2023
NPI 1316460264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

255 N 3RD E STE 200, Rexburg, ID 83440

Other Names 1

Doing Business AsMadison Memorial Outpatient Services

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316460264, enumerated as an "organization" on July 24, 2017.

The provider is located at 255 N 3RD E STE 200 REXBURG, ID 83440 and the phone number is (208) 359-6516.

Physiological Laboratory with taxonomy code 293D00000X.

The provider might be accepting Accepts: PacificSource Health Plans and University of Utah. Please consult your insurance carrier or call the provider to verify.