Idx Pathology Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IDX PATHOLOGY INC

Practice address

1151 Miller St
Boise, ID 83702-6965

Phone

(800) 222-7566

NPI assigned

May 30, 2008

Organization subpart

No

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

Authorized official

Name

Kimberly Williams

Title

VP

Phone

(800) 222-7566

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1811155401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2240",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "27215",
            "telephone_number": "800-222-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 MILLER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026965",
            "telephone_number": "800-222-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDX PATHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "800-222-7566"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaho Virtual Academy
• Idaho Youth Ranch
• Idahome Caregivers
• Amy A Iddings, LCSW
• Ideal Health
• Idx Pathology PA
• Ifi Biz, Inc
• Petar G Igic, MD
• Nicole Iglesias, LPN
• Judith D Igo, LCPC

• 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 Feb 21, 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.