# MOBILE LABORATORY HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447422167
- **Authorized official:** CHRISTINE MICHELLE BOTTENFIELD CLPLB (OWNER)
- **Authorized official phone:** (208) 946-6746

## Contact information

- **Practice address:** 110 N. THIRD AVE., SANDPOINT, ID 83864
- **Practice address phone:** (208) 946-6746
- **Practice address fax:** (188) 832-0983
- **Mailing address:** 110 N. THIRD AVE., SANDPOINT, ID 83864
- **Mailing address phone:** (208) 946-6746
- **Mailing address fax:** (188) 832-0983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/02/2008
- **Last updated:** 04/02/2008