Organization
XDI PATHOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD MORTON (SVP AR APPLICATIONS)
(800) 222-7566
Entity
Organization
Contact information
Practice address
1151 MILLER ST, BOISE, ID 83702-6965
(800) 222-7566
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(800) 222-7566
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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