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Organization

COLE DIAGNOSTICS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN N COLE MD (CEO/DIRECTOR)
(208) 472-1082
Entity
Organization

Contact information

Practice address
7988 W. MARIGOLD, BOISE, ID 83714
(208) 229-0990
(800) 838-5913
Mailing address
7988 W. MARIGOLD ST., STE. 150, BOISE, ID 83714
(208) 472-1082
(208) 472-1078

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
13D1020051
ID

Other

Enumeration date
08/20/2006
Last updated
12/31/2020
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