Organization
BOISE ULTRASOUND COMPANY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACY MARLATT (OWNER/PARTNER)
(208) 902-2620
Entity
Organization
Contact information
Practice address
1510 S ROBERT ST STE 101, BOISE, ID 83705-5194
(208) 902-2620
(208) 408-0280
Mailing address
1510 S ROBERT ST STE 101, BOISE, ID 83705-5194
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
01/03/2023
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