Organization
UNITED DRUG TESTING LABORATORY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN G BAKER (OWNER)
(704) 405-3970
Entity
Organization
Contact information
Practice address
1010 N ORCHARD ST, SUITE 8, BOISE, ID 83706-2270
(208) 331-4097
(208) 331-4095
Mailing address
1010 N ORCHARD ST, SUITE 8, BOISE, ID 83706-2270
(208) 331-4097
(208) 331-4095
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
13D1026723
ID
Other
Enumeration date
11/30/2007
Last updated
05/21/2009
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