NPI Details
BOISE STATE UNIVERSITY is a clinical medical laboratory in Boise, ID. The provider is (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. BOISE STATE UNIVERSITY NPI is 1770183089. The provider is registered as an organization entity type.
The provider Other Name Is Boise State University Clinical Laboratory.
The provider's business location address is:
2133 W CESAR CHAVEZ LN RM 239
BOISE, ID
ZIP 83725-001
Phone: (208) 426-1038
The provider's authorized official is Stephanie Hudon .
The authorized official title is Clinical Lab Manager and has the following contact phone number (208) 995-3765.
The CLIA number assigned to this NPI record is 13D2193886 - public health laboratories with a certificate type of Certificate of Compliance.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
The enumeration date for this NPI number is 10/27/2020 and was last updated on 10/12/2023.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 251K00000X | Public Health or Welfare | | | | No |
| 2 | 291U00000X | Clinical Medical Laboratory | | | | Yes |
