Higher Ground Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

M-4116 Issued in ID

Legal business name

HIGHER GROUND LABORATORY LLC

Practice address

17626 Deer Flat Rd
Caldwell, ID 83607-9779

Phone

(208) 455-5644

Fax

(208) 620-2376

NPI assigned

Feb 28, 2013

Organization subpart

No

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

Authorized official

Name

Beatrice Carroll

Title

Owner

Phone

(208) 440-7009

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1831439876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17626 DEER FLAT RD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836079779",
            "telephone_number": "208-455-5644",
            "fax_number": "208-620-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17626 DEER FLAT RD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836079779",
            "telephone_number": "208-455-5644",
            "fax_number": "208-620-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHER GROUND LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-440-7009"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ID",
            "license": "M-4116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Herrin, D.C.
• Whitney M Herter, LCPC
• Patrick Omura Hessler, DPT
• Tyler Carl Higgins, PHARMD
• High Desert Wound Care and Hyperbarics PLLC
• Higher Ground Retreat, LLC
• Amy Hilderbrand, LMSW
• Hunter Hill, PMHNP
• Holly Ann Hillier, PHARMD
• HNH Birdie One, LLC

• Clinical Medical Laboratory in Caldwell, ID
• Providers in Caldwell, 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 28, 2013; 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.