Advanced Drug Detection II

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ADVANCED DRUG DETECTION II

Practice address

202 2ND Ave N
Twin Falls, ID 83301-6158

Phone

(208) 734-2889

Fax

(208) 734-0801

NPI assigned

Sep 10, 2013

Last updated

Sep 10, 2013By 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

Jennifer Wicklund

Title

Manager

Phone

(208) 734-2889

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1982039954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833030148",
            "telephone_number": "208-734-2889",
            "fax_number": "208-734-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 2ND AVE N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016158",
            "telephone_number": "208-734-2889",
            "fax_number": "208-734-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DRUG DETECTION II",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "WICKLUND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-734-2889"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Advanced Hand Therapy PC
• Advanced Orthopedics and Sports Medicine PLLC
• Advanced Podiatry of Southern Idaho, LLC (Advanced Foot & Ankle)
• Aeris Pediatrics, PLLC

• Clinical Medical Laboratory in Twin Falls, ID
• Providers in Twin 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 Sep 10, 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.