Drug Test of Idaho LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DRUG TEST OF IDAHO LLC

Doing business as

Global Drug Testing Labs

Practice address

921 S Orchard St Ste a
Boise, ID 83705-1992

Phone

(208) 429-1445

Fax

(208) 429-1705

NPI assigned

Apr 7, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Darrell Wickham

Title

Owner

Phone

(208) 429-1445

Specialties & licenses 1

Addresses

Other names 1

• Global Drug Testing Labs Doing business as

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1073909016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S ORCHARD ST STE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051992",
            "telephone_number": "208-429-1445",
            "fax_number": "208-429-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S ORCHARD ST STE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051992",
            "telephone_number": "208-429-1445",
            "fax_number": "208-429-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG TEST OF IDAHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "WICKHAM",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-429-1445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Global Drug Testing Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Desarae Driggers
• Lisa Driscoll, MD
• Mary Jordan Driscoll, DNP
• Pamela K Driscoll, MA, LAMFT
• Christine Rene Drouillard, LCSW
• Drugs Inc
• Drugshield Inc
• Robert John Dry, D.C.
• DTG II PLLC
• Matthew Saul Dubman, APRN-CNP

• Clinical Medical Laboratory in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Medical Laboratory in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.