Organization
IDAHO CYTOGENETICS DIAGNOSTIC LAB
Active
Organization
IDAHO CYTOGENETICS DIAGNOSTIC LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDI K BEACH (BILLING MANAGER)
(509) 755-8700
Entity
Organization
Contact information
Practice address
2220 OLD PENITENTIARY RD, STE 16, BOISE, ID 83712-8249
(208) 376-8585
Mailing address
PO BOX 78, BOISE, ID 83707-0078
(208) 376-8585
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
ID
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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