STATE HOSPITAL SOUTH LABORATORY
NPI 1790841781
Clinical Medical Laboratory in Blackfoot, ID
About State Hospital South Laboratory NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATE HOSPITAL SOUTH LABORATORY (NPI 1790841781) is a healthcare organization registered as a clinical medical laboratory in Blackfoot, Idaho and active in the NPI registry since December 2006. The organization lists Ralph Duane Heckard, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLACKFOOT, ID 83221
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 State Of Idaho's NPI number?
The NPI number for State Of Idaho is 1790841781. It was assigned to this organization in the NPPES registry on December 28, 2006. The provider is doing business as State Hospital South Laboratory.
Where is State Of Idaho located?
State Of Idaho is located at 700 East Alice, Blackfoot, ID 83221. The listed phone number is (208) 785-8429.
What is State Of Idaho'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 State Of Idaho was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.