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WESTERN IDAHO PATHOLOGY PA NPI 1275729261


NPI Information

NPI: 1275729261
Provider Name: WESTERN IDAHO PATHOLOGY PA
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

Address:
1717 ARLINGTON AVE
CALDWELL, ID
ZIP 83605
Phone: (208) 455-3799
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WESTERN IDAHO PATHOLOGY PA is an anatomic pathology and clinical pathology pathology in Caldwell, ID. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. WESTERN IDAHO PATHOLOGY PA NPI is 1275729261. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1717 ARLINGTON AVE
CALDWELL, ID
ZIP 83605-802
Phone: (208) 455-3799
Fax: (310) 698-7040

The provider's authorized official is Joseph R Eastman .
The authorized official title is President and has the following contact phone number (208) 455-3799.

The enumeration date for this NPI number is 9/24/2007 and was last updated on 10/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F12980MEDICARE UPINIDAHO
211305172MEDICARE PINIDAHO
38078528MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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