Organization
IDX PATHOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J MYHRE MD (OWNER)
(208) 377-1969
Entity
Organization
Contact information
Practice address
1151 MILLER ST, BOISE, ID 83702-6965
(208) 377-1969
Mailing address
PO BOX 9589, BOISE, ID 83707-4589
(208) 472-8107
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/13/2006
Last updated
11/15/2007
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