Organization
BOISE STATE UNIVERSITY
Active
Organization
BOISE STATE UNIVERSITY
Active
Other names
Boise State University Clinical Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE HUDON PHD (CLINICAL LAB MANAGER)
(208) 995-3765
Entity
Organization
Contact information
Practice address
2133 W CESAR CHAVEZ LN RM 239, BOISE, ID 83725-0001
(208) 426-1038
Mailing address
1910 UNIVERSITY DR # MS 1515, BOISE, ID 83725-0002
(208) 426-1038
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/12/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up