Daystar Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

P705 Issued in ID

Legal business name

DAYSTAR LABS LLC

Practice address

13901 W Wainwright Dr
Suite a
Boise, ID 83713-5047

Phone

(208) 407-2831

NPI assigned

Sep 28, 2009

Last updated

Sep 28, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Weiskircher

Title

Owner

Phone

(208) 407-2831

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1487988192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 W WAINWRIGHT DR",
            "address_2": "SUITE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 W WAINWRIGHT DR",
            "address_2": "SUITE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135047",
            "telephone_number": "208-407-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYSTAR LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "WEISKIRCHER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-407-2831"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ID",
            "license": "P705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus J Day, RN
• Ryan John Day, MD
• Susan L Day, MSN APRN PMHNP-BC
• Monika Dayal, NP
• Blake Isaac Dayley, D.D.S.
• James Edward Dayton, LCSW
• Nancy Lourdes De Castro
• Geoffry De Gennaro Jr., M.D.
• Katharine Elizabeth De Gennaro
• Mark Steven De Jong, LMSW

• 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 Sep 28, 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.