Organization
WESTERN IDAHO PATHOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH R EASTMAN III MD (PRESIDENT)
(208) 455-3799
Entity
Organization
Contact information
Practice address
1717 ARLINGTON AVE, CALDWELL, ID 83605-4802
(208) 455-3799
(310) 698-7040
Mailing address
PO BOX 49009, GREENWOOD, SC 29649-0001
(864) 223-3070
(864) 223-1396
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8078528
—
ID
Enumeration date
09/24/2007
Last updated
10/22/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us