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13D2137030 CLIA NUMBER - BINGHAM HEALTHCARE SPECIALTY CLINIC-MARTHA

Laboratory Demographics

CLIA Number: 13D2137030

Facility Name: BINGHAM HEALTHCARE SPECIALTY CLINIC-MARTHA

Facility Address:
1975 MARTHA AVE STE A
IDAHO FALLS, ID
ZIP 83404
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Facility Phone Number: 208 535-3638

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1922512722

Taxonomy: 208600000X - Surgery
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

CLIA Record

Field Name Field Value
CLIA Number 13D2137030
LAB Type Physician Office
Facility Name BINGHAM HEALTHCARE SPECIALTY CLINIC-MARTHA
Street 1975 MARTHA AVE STE A
City IDAHO FALLS
State ID
ZIP 83404
Phone 208 535-3638
CertificateType 3
CertificateEffectiveDate 9/19/2023
CertificateExpirationDate 9/18/2025
FacilityType PPMP

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