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PATHOLOGY ASSOCIATES OF IDAHO FALLS P A
NPI 1497723241
Pathology - Anatomic Pathology & Clinical Pathology in Idaho Falls, ID

Active since March 09, 2006
3100 CHANNING WAY, IDAHO FALLS, ID 83404(208) 529-6050 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pathology Associates Of Idaho Falls P A NPPES

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

PATHOLOGY ASSOCIATES OF IDAHO FALLS P A (NPI 1497723241) is a healthcare organization registered as an anatomic pathology & clinical pathology in Idaho Falls, Idaho and active in the NPI registry since March 2006. The organization lists Matt Tannenbaum, President, as its authorized official.

NPPES Registry Identity

NPI1497723241
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NamePATHOLOGY ASSOCIATES OF IDAHO FALLS P A
Location Address3100 CHANNING WAYIdaho Falls, ID 83404-7533
Mailing Address3100 Channing WayIdaho Falls, ID 83404-7533 · (208) 529-6111
Phone(208) 529-6050
Organization SubpartNo
Authorized OfficialMatt TannenbaumPresident · (208) 529-6050
Enumeration DateMarch 9, 2006
Last NPPES UpdateMarch 6, 2020
NPPES CertifiedMarch 6, 2020
✔ NPI 1497723241 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
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Other Identifiers 3

Medicaid002346700ID
Other000010026929ID · Regence Blue Shield Id
Other88971ID · Blue Cross Of Id

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 Pathology Associates Of Idaho Falls P A's NPI number?

The NPI number for Pathology Associates Of Idaho Falls P A is 1497723241. It was assigned to this organization in the NPPES registry on March 9, 2006.

Where is Pathology Associates Of Idaho Falls P A located?

Pathology Associates Of Idaho Falls P A is located at 3100 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 529-6050.

What is Pathology Associates Of Idaho Falls P A'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 Pathology Associates Of Idaho Falls P A was last updated on March 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.