Organization
DAYSTAR LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WEISKIRCHER (OWNER)
(208) 407-2831
Entity
Organization
Contact information
Practice address
13901 W WAINWRIGHT DR, SUITE A, BOISE, ID 83713-5047
(208) 407-2831
Mailing address
13901 W WAINWRIGHT DR, SUITE A, BOISE, ID 83713-5047
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
P705
ID
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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