Organization
HIGHER GROUND LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRICE CARROLL (OWNER)
(208) 440-7009
Entity
Organization
Contact information
Practice address
17626 DEER FLAT RD, CALDWELL, ID 83607-9779
(208) 455-5644
(208) 620-2376
Mailing address
17626 DEER FLAT RD, CALDWELL, ID 83607-9779
(208) 455-5644
(208) 620-2376
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
M-4116
ID
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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