Mobile Drug Screen

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MOBILE DRUG SCREEN

Practice address

239 W 13TH St
Burley, ID 83318-1655

Phone

(208) 878-2321

Fax

(208) 878-9960

NPI assigned

May 30, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debra Leanor McKnightNPI 1306071410

Title

Owner

Phone

(208) 878-2321

Specialties & licenses 1

Addresses

Other names 1

• ABSOLUTE HEALTH CARE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debra Leanor McKnight

  • Clinical Medical Laboratory
  • Burley, ID
  • NPI 1306071410
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1003042482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 W 13TH ST",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833181655",
            "telephone_number": "208-878-2321",
            "fax_number": "208-878-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W 13TH ST",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833181655",
            "telephone_number": "208-878-2321",
            "fax_number": "208-878-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DRUG SCREEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-30",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LEANOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-878-2321"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABSOLUTE HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mountain Medical Physician Specialists of Idaho PC

• All providers in Burley, ID
• Clinical Medical Laboratory in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.