13D0939873 CLIA NUMBER - MOUNTAIN VIEW FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 13D0939873

Facility Name: MOUNTAIN VIEW FAMILY MEDICINE

Facility Address:
2006 BIRDIE THOMPSON DR
POCATELLO, ID
ZIP 83201
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Facility Phone Number: 208 232-1132

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1053483669

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	13D0939873
LAB Type	Physician Office
Facility Name	MOUNTAIN VIEW FAMILY MEDICINE
Street	2006 BIRDIE THOMPSON DR
City	POCATELLO
State	ID
ZIP	83201
Phone	208 232-1132
CertificateType	3
CertificateEffectiveDate	11/20/2022
CertificateExpirationDate	11/19/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024