STATE HOSPITAL SOUTH LABORATORY
NPI 1790841781
Clinical Medical Laboratory in Blackfoot, ID

Active since December 28, 2006
700 EAST ALICE, BLACKFOOT, ID 83221(208) 785-8429(208) 785-8439 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1790841781
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSTATE OF IDAHO
Location Address700 EAST ALICEBlackfoot, ID 83221
Mailing AddressBox 400, 700 East AliceBlackfoot, ID 83221 · (208) 785-8429 · Fax (208) 785-8439
Fax(208) 785-8439
Organization SubpartNo
Authorized OfficialRalph Duane HeckardMedical Director · (208) 785-8429
Enumeration DateDecember 28, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1790841781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

700 EAST ALICE, Blackfoot, ID 83221

Other Names 1

Doing Business AsState Hospital South Laboratory

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.

Pharmacist
700 EAST ALICE
BLACKFOOT, ID 83221
Psychiatric Hospital
700 EAST ALICE, BOX 400
BLACKFOOT, ID 83221
Psychologist
700 EAST ALICE
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 with the weekly NPPES data releases published by CMS.