Pathology Associates Of Idaho Falls P A
LBN: Pathology Associates Of Idaho Falls P A
Pathology Associates Of Idaho Falls P A is an health care organization with primary practice located at 3100 Channing Way , Idaho Falls ID 83404-7533. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty.
Pathology Associates Of Idaho Falls P A can be contacted via phone (208) 529-6050, or through Tannenbaum, Matt via phone (208) 529-6050.
Contact Information
Primary practice address
3100 Channing Way
Idaho Falls ID 83404-7533
Phone: (208) 529-6050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X |
Profile Details
| NPI number | 1497723241 |
|---|---|
| LBN Legal business name | Pathology Associates Of Idaho Falls P A |
| DBA Doing business as | |
| Authorized official | Tannenbaum, Matt Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Mar 6th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497723241 | NPPES |
| Idaho | MEDICAID | 002346700 | |
| Idaho | Other | 88971 | |
| Idaho | Other | 000010026929 |
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