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Organization

OPTIMUM LABWORKS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN WILLIAM BAISDEN (CEO)
(208) 991-0480
Entity
Organization

Contact information

Practice address
6885 BAUMAN ST, BONNERS FERRY, ID 83805-8723
(208) 991-0480
(888) 378-3007
Mailing address
6885 BAUMAN ST, BONNERS FERRY, ID 83805-8723
(208) 991-0480
(888) 378-3007

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
08/08/2017
Last updated
03/10/2020
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