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Ada West Dermatopathology, Llc
Clinical Medical Laboratory in Meridian, Idaho
NPI 1760730436

Ada West Dermatopathology, Llc is a Clinical Medical Laboratory based in Meridian, ID. Ada West Dermatopathology, Llc practices in Meridian, ID. The NPI Number for Ada West Dermatopathology, Llc is 1760730436 and holds a License No. P1629 (Idaho).

The current practice location address for Ada West Dermatopathology, Llc is 1618 Millenium Way, Meridian, ID and can be reached out via phone at 208-884-3376 and via fax at 208-884-0858. You can also correspond with Ada West Dermatopathology, Llc through the mailing address at 1618 MILLENIUM WAY, MERIDIAN, ID - 83642-6439 (mailing address contact number: 208-884-3376).

Location: 1618 Millenium Way, Meridian, ID, 83642-6439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760730436
Provider Name
Ada West Dermatopathology, Llc
Credential
Provider Entity Type
Organization
Address
1618 Millenium Way, Meridian, ID, 83642-6439
Phone Number
208-884-3376
Fax Number
208-884-0858
Provider Enumeration Date
08/28/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20002043 01 ID MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1618 Millenium Way
City
Meridian
State
Idaho
Zip
83642-6439
Phone Number
208-884-3376
Fax Number
208-884-0858
person
Provider Business Mailing Address Details
Address
1618 Millenium Way
City
Meridian
State
Idaho
Zip
83642-6439
Phone Number
208-884-3376
Fax Number
208-884-0858
person
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
P1629 (Idaho)
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
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