Organization
BOURGET HEALTH SERVICES
Active
Other names
PAML/AML
Organization subpart
No
Provider details
NPI number
Authorized official
KURT ROGERS (CFO)
(509) 755-8903
Entity
Organization
Contact information
Practice address
700 W IRONWOOD DR STE 108, COEUR D ALENE, ID 83814-2656
(208) 664-8249
Mailing address
PO BOX 2687, SPOKANE, WA 99220-2687
(509) 755-8600
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MTS-0416
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003284800
—
ID
Enumeration date
04/01/2009
Last updated
04/01/2009
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