Organization
UNITED DRUG TESTING LABORATORY INC
Active
Organization
UNITED DRUG TESTING LABORATORY INC
Active
Other names
US Crime Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN M ROSE BS (LAB DIRECTOR)
(208) 331-4097
Entity
Organization
Contact information
Practice address
1010 N. ORCHARD ST, SUITE 8, BOISE, ID 83642
(208) 331-4097
(208) 331-4095
Mailing address
1010 N. ORCHARD ST, SUITE 8, BOISE, ID 83642
(208) 331-4097
(208) 331-4095
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
13D026723
ID
291U00000X
Clinical Medical Laboratory
P947
ID
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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