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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