BOISE STATE UNIVERSITY CLINICAL LABORATORY
NPI 1770183089
Clinical Medical Laboratory in Boise, ID

Active since October 27, 2020
2133 W CESAR CHAVEZ LN RM 239, BOISE, ID 83725(208) 426-1038 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2023, Feb 3, 2023, Oct 27, 2020 (3 updates tracked since 2020).

About Boise State University Clinical Laboratory NPPES

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

BOISE STATE UNIVERSITY CLINICAL LABORATORY (NPI 1770183089) is a healthcare organization registered as a clinical medical laboratory in Boise, Idaho and active in the NPI registry since October 2020. The organization lists Stephanie Hudon, Clinical Lab Manager, as its authorized official.

NPPES Registry Identity

NPI1770183089
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameBOISE STATE UNIVERSITY
Location Address2133 W CESAR CHAVEZ LN RM 239Boise, ID 83725-0001
Mailing Address1910 University Dr # Ms 1515Boise, ID 83725-0002 · (208) 426-1038
Organization SubpartNo
Authorized OfficialStephanie HudonClinical Lab Manager · (208) 995-3765
Enumeration DateOctober 27, 2020
Last NPPES UpdateOctober 12, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
NPI 1770183089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Also ListedPublic Health or WelfareTaxonomy 251K00000X
2133 W CESAR CHAVEZ LN RM 239, Boise, ID 83725

Other Names 1

Other NameBoise State University Clinical Laboratory

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 Boise State University's NPI number?

The NPI number for Boise State University is 1770183089. It was assigned to this organization in the NPPES registry on October 27, 2020. The provider is also known as Boise State University Clinical Laboratory.

Where is Boise State University located?

Boise State University is located at 2133 W Cesar Chavez Ln Rm 239, Boise, ID 83725. The listed phone number is (208) 426-1038.

What is Boise State University's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Boise State University was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.