Organization
RM LAB LLC
Active
Other names
Express Lab
Organization subpart
No
Provider details
NPI number
Authorized official
VON CROFTS (CEO)
(208) 523-1122
Entity
Organization
Contact information
Practice address
2220 E 25TH ST, IDAHO FALLS, ID 83404-7542
(208) 529-8330
(208) 523-3318
Mailing address
3910 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7596
(208) 529-8330
(208) 884-4611
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
13D0520868
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806230600
—
ID
Enumeration date
07/05/2006
Last updated
10/02/2014
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