Organization
SPEK DIAGNOSTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN NATHAN LENNBERG CPA (CFO)
(208) 854-9323
Entity
Organization
Contact information
Practice address
155 E 50TH ST, GARDEN CITY, ID 83714-1413
(208) 854-9323
Mailing address
155 E 50TH ST, GARDEN CITY, ID 83714-1413
(208) 609-3812
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
10/19/2023
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