Landbank Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

P1621 Issued in ID

Legal business name

LANDBANK LABORATORIES, LLC

Practice address

1020 Land Bank St
Suite B
Idaho Falls, ID 83402-1809

Phone

(208) 522-6155

Fax

(208) 522-6156

NPI assigned

Oct 8, 2015

Organization subpart

No

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

Authorized official

Name

David Pinegar

Title

Owner

Phone

(208) 522-6155

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1730550377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAND BANK ST",
            "address_2": "SUITE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834021809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LAND BANK ST",
            "address_2": "SUITE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834021809",
            "telephone_number": "208-522-6155",
            "fax_number": "208-522-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDBANK LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "PINEGAR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-522-6155"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ID",
            "license": "P1621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin A Lamb, D.O.
• Bradley Kent Lambson, LMFT
• Malory Ruth Lambson
• Trina Lambson, LCSW
• Trevor Lance
• Dylan Marshall Landeen, LCSW
• John Edward Landers, PH.D.
• Sari Jane Landers, RDN, LDN
• Jaxson Landon, DC
• Kira C Lane, LPC3502

• Clinical Medical Laboratory in Idaho Falls, ID
• Providers in Idaho Falls, 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 Oct 8, 2015; 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.