United Drug Testing Laboratory, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

13D1026723 Issued in ID

Legal business name

UNITED DRUG TESTING LABORATORY, INC

Practice address

1010 N Orchard St
Suite 8
Boise, ID 83706-2270

Phone

(208) 331-4097

Fax

(208) 331-4095

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin G Baker

Title

Owner

Phone

(704) 405-3970

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Chris M Grisaffi, BS

  • Laboratory Management Specialist/Technologist
  • Boise, ID
  • NPI 1942697115
  NPD (past)

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1295917375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N ORCHARD ST",
            "address_2": "SUITE 8",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062270",
            "telephone_number": "208-331-4097",
            "fax_number": "208-331-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N ORCHARD ST",
            "address_2": "SUITE 8",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062270",
            "telephone_number": "208-331-4097",
            "fax_number": "208-331-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DRUG TESTING LABORATORY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-405-3970",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ID",
            "license": "13D1026723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vattey Ung
• Chelsea Ungvari, ARNP
• United Care LLC
• United Care LLC
• United Drug Testing Laboratory Inc
• Universal Enterprise Services
• University of Utah Adult Services
• University of Utah Adult Services
• Unplugged Therapy LLC
• Mahendra P Upadhyaya, M.D.

• 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 May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.