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MR. CHRIS M GRISAFFI BS NPI 1942697115


NPI Information

NPI: 1942697115
Provider Name: MR. CHRIS M GRISAFFI, BS
Classification: Specialist/Technologist, Pathology - 246QL0900X
Entity Type: Individual

Specialization: Laboratory Management

Address:
1010 N ORCHARD ST STE 8
BOISE, ID
ZIP 83706
Phone: (208) 331-4097
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MR. Chris M Grisaffi, BS is a laboratory management specialist technologist pathology in Boise, ID. MR. Chris M Grisaffi, BS NPI is 1942697115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1010 N ORCHARD ST STE 8
BOISE, ID
ZIP 83706-255
Phone: (208) 331-4097
Fax: (208) 331-4095

The enumeration date for this NPI number is 4/24/2015 and was last updated on 4/24/2015.


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
1246QL0900XSpecialist/Technologist, PathologyLaboratory ManagementP1869IDAHOYes

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
11295917375MEDICAIDIDAHO

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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