Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Other names
ST LUKES REFERENCE LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF TAYLOR (TREASURER/CFO)
(208) 381-2520
Entity
Organization
Contact information
Practice address
3176 S DENVER WAY, BOISE, ID 83705-5289
(208) 706-5000
Mailing address
PO BOX 2777, BOISE, ID 83701-2777
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
6919
ID
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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