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IDAHO FALLS CLINIC, P.A.
NPI 1811932411
Clinic/Center in Idaho Falls, ID

Active since June 18, 2006CLIA 13D2191987 · Microscopy
2001 S WOODRUFF AVE, SUITE #15, IDAHO FALLS, ID 83404(208) 522-7310(208) 524-0559 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Idaho Falls Clinic, P.a. NPPES

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

IDAHO FALLS CLINIC, P.A. (NPI 1811932411) is a healthcare organization registered as a clinic/center in Idaho Falls, Idaho and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through January 21, 2027 and lists Christine C. Clark, Administrator, as its authorized official.

NPPES Registry Identity

NPI1811932411
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameIDAHO FALLS CLINIC, P.A.
Location Address2001 S WOODRUFF AVE, SUITE #15Idaho Falls, ID 83404-6374
Mailing Address2001 S Woodruff Ave, Suite #15Idaho Falls, ID 83404-6374 · (208) 522-7310 · Fax (208) 524-0559
Phone(208) 522-7310
Fax(208) 524-0559
Organization SubpartNo
Authorized OfficialChristine C. ClarkAdministrator · (208) 522-7310
Enumeration DateJune 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1811932411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2001 S WOODRUFF AVE, Idaho Falls, ID 83404
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Other Identifiers 3

OtherP9154ID · Rr Medicare
OtherI843154ID · Tricare
Other88468ID · Blue Cross

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D2191987

Idaho Falls Clinic And Dermatology · Idaho Falls, ID
Active · expires Jan 21, 2027
CLIA Number13D2191987
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorColby Bingham
Laboratory Phone(208) 522-7310
Laboratory LocationIdaho Falls Clinic And Dermatology2442 E 25th Circle, Idaho Falls, ID 83404
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

MARK L MILLER R.C.S.,R.V.S.
Specialist/Technologist Cardiovascular
2001 S WOODRUFF AVE, SUITE 12B
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2498
IHC HEALTH SERVICES INC
Internal Medicine (Cardiovascular Disease)
2001 S WOODRUFF AVE, #12
IDAHO FALLS, ID 83404
Bonneville County (801) 387-2655
MR. WILLIAM EMMETT ARMOUR III M.D.
Internal Medicine (Pulmonary Disease)
2001 S WOODRUFF AVE, SUITE 12A
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2440
CLUB, INC.
Voluntary or Charitable
2001 S WOODRUFF AVE, SUITE 6
IDAHO FALLS, ID 83404
Bonneville County (208) 529-4673
MRS. JANAE LYNN DYE CRT
Respiratory Therapist, Certified
2001 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2498
TETON NUCLEAR MEDICINE SERVICE LLC
Nuclear Medicine (Nuclear Imaging & Therapy)
2001 S WOODRUFF AVE, STE 20
IDAHO FALLS, ID 83404
Bonneville County (208) 525-3201
CORNELIUS PAUL BROOKE MD
Dermatology
2001 S WOODRUFF AVE, STE 12A
IDAHO FALLS, ID 83404
Bonneville County (208) 522-8945
HEALTH & WELLNESS CENTER OF IDAHO PLLC
Family Medicine
2001 S WOODRUFF AVE, SUITE 5
IDAHO FALLS, ID 83404
Bonneville County (208) 528-8777

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 Idaho Falls Clinic, P.A.'s NPI number?

The NPI number for Idaho Falls Clinic, P.A. is 1811932411. It was assigned to this organization in the NPPES registry on June 18, 2006.

Where is Idaho Falls Clinic, P.A. located?

Idaho Falls Clinic, P.A. is located at 2001 S Woodruff Ave Suite #15, Idaho Falls, ID 83404. The listed phone number is (208) 522-7310.

What is Idaho Falls Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Idaho Falls Clinic, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D2191987) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Idaho Falls Clinic, P.A. 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 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.