United Drug Testing Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

13D026723 Issued in ID

Legal business name

UNITED DRUG TESTING LABORATORY INC

Practice address

1010 N. Orchard St
Suite 8
Boise, ID 83642

Phone

(208) 331-4097

Fax

(208) 331-4095

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kevin M Rose, BS

Title

Lab Director

Phone

(208) 331-4097

Specialties & licenses 2

Addresses

Other names 1

• US Crime Lab Former legal business name

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1457531592",
    "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": "83642",
            "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": "83642",
            "telephone_number": "208-331-4097",
            "fax_number": "208-331-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DRUG TESTING LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "208-331-4097",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ID",
            "license": "13D026723",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ID",
            "license": "P947",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US Crime Lab",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Margaret Ashley Underwood, PHARMD
• 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

• 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 6, 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.