Teton Microbiology Laboratory

LBN: Teton Microbiology Laboratory
Teton Microbiology Laboratory is an health care organization with primary practice located at 258 N Water Ave Suite 2, Idaho Falls ID 83402-4057. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Teton Microbiology Laboratory can be contacted via phone (208) 529-0077, or through Rogers, Rhyanna Kay via phone (208) 529-0077.

Contact Information

Primary practice address
258 N Water Ave Suite 2 Idaho Falls ID 83402-4057
Phone: (208) 529-0077
Fax: (208) 522-3797
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Rhyanna Kay
Phone: (208) 529-0077

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1396859567
LBN Legal business name Teton Microbiology Laboratory
DBA Doing business as
Authorized official Rogers, Rhyanna Kay
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Apr 10th, 2012 - about 12 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 1396859567 NPPES
Idaho Other 8B164 BLUE CROSS
Idaho Other 22387 BLUE CROSS
Idaho MEDICAID 807270200 BLUE CROSS

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