Organization
THE LOCAL LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH FOBES (DIRECTOR OF OPERATIONS)
(208) 755-6400
Entity
Organization
Contact information
Practice address
8382 N WAYNE DR STE 103, HAYDEN, ID 83835-6028
(208) 714-0478
(208) 714-0478
Mailing address
8382 N WAYNE DR STE 103, HAYDEN, ID 83835-6028
(208) 714-0478
(208) 714-0478
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
13D2141188
ID
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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