Medical Associates of Idaho, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MEDICAL ASSOCIATES OF IDAHO, LLC

Practice address

1208 11TH St S
Nampa, ID 83651-4654

Phone

(208) 475-3181

NPI assigned

Jun 10, 2014

Last updated

Jun 10, 2014By 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

Danny L Martineau

Title

Owner

Phone

(208) 475-3181

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1518370212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 11TH ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514654",
            "telephone_number": "208-475-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 11TH ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514654",
            "telephone_number": "208-475-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF IDAHO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEAU",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-475-3181"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryley McPeters, M.D.
• Ryan H Mecham, MD
• Sydney Mecham, AUD
• Med Lift LLC
• Bryan Reed Medaris, D.D.S.
• Medical Directors of Idaho PLLC
• Juan Miguel Medina Araujo
• Mednow, Inc (MedNow Pharmacy #4)
• Mednow, Inc (MedNow Pharmacy #2)
• Stephanie M. Meeks, LCSW

• Clinical Medical Laboratory in Nampa, ID
• Providers in Nampa, 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 Jun 10, 2014; 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.