Snake River Cardiovascular & Pulmonary Laboratory
LBN: Teton Cardiovascular And Pulmonary Lab,Llc
Snake River Cardiovascular & Pulmonary Laboratory is an health care organization with primary practice located at 2001 S Woodruff Ave Suite 12 B, Idaho Falls ID 83404-6374. The organization recently has only one registered license in Laboratories / Physiological Laboratory, which is considered as the primary health care specialty.
Teton Cardiovascular And Pulmonary Lab,Llc can be contacted via phone (208) 529-2498, or through Miller, Mark L via phone (208) 529-2498.
Contact Information
Primary practice address
2001 S Woodruff Ave Suite 12 B
Idaho Falls ID 83404-6374
Phone: (208) 529-2498
Fax: (208) 528-7971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Physiological Laboratory | 293D00000X |
Profile Details
| NPI number | 1699784413 |
|---|---|
| LBN Legal business name | Teton Cardiovascular And Pulmonary Lab,Llc |
| DBA Doing business as | Snake River Cardiovascular & Pulmonary Laboratory |
| Authorized official | Miller, Mark L R.C.S., R.V.S. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Aug 22nd, 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 | 1699784413 | NPPES |
| Idaho | MEDICAID | 807391800 | |
| Idaho | Other | 000010153937 | |
| Idaho | Other | 8M795 |
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