Ada West Dermatopathology, Llc

LBN: Ada West Dermatopathology, Llc
Ada West Dermatopathology, Llc is an health care organization with primary practice located at 1618 Millenium Way Ste 220, Meridian ID 83642-6439. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Ada West Dermatopathology, Llc can be contacted via phone (208) 884-3376, or through Jones, Colleen via phone (208) 884-3376.

Contact Information

Primary practice address
1618 Millenium Way Ste 220 Meridian ID 83642-6439
Phone: (208) 884-3376
Fax: (208) 884-0858
Website:
Map and Directions
Authorized official contact:
Name: Jones, Colleen
Phone: (208) 884-3376

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X P1629 Idaho

Profile Details

NPI number 1760730436
LBN Legal business name Ada West Dermatopathology, Llc
DBA Doing business as
Authorized official Jones, Colleen
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 28th, 2012
Last updated Nov 10th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760730436 NPPES
Idaho Other 20002043 MEDICARE PTAN

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