Idx Pathology PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IDX PATHOLOGY PA

Practice address

1151 Miller St
Boise, ID 83702-6965

Phone

(208) 377-1969

NPI assigned

May 13, 2006

Organization subpart

No

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

Authorized official

Name

Michael J Myhre, MD

Title

Owner

Phone

(208) 377-1969

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1144271131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9589",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837074589",
            "telephone_number": "208-472-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 MILLER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026965",
            "telephone_number": "208-377-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDX PATHOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "MYHRE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-377-1969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaho Youth Ranch
• Idahome Caregivers
• Amy A Iddings, LCSW
• Ideal Health
• Idx Pathology Inc
• Ifi Biz, Inc
• Petar G Igic, MD
• Nicole Iglesias, LPN
• Judith D Igo, LCPC
• Rachel Illias, PHARMD

• 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 Nov 15, 2007; 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.