13D1076682 CLIA NUMBER - TETON MEDICAL GROUP

Laboratory Demographics

CLIA Number: 13D1076682

Facility Name: TETON MEDICAL GROUP

Facility Address:
255 N 3RD E
REXBURG, ID
ZIP 83440
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Facility Phone Number: (208) 356-7585

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1154502615

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	13D1076682
LAB Type	PHYSICIAN OFFICE
Facility Name	TETON MEDICAL GROUP
Street	255 N 3RD E
City	REXBURG
State	ID
ZIP	83440
Phone	(208) 356-7585

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This page was last updated on: 5/11/2023