LOCAL LAB LLC


Address: 8382 N Wayne Dr Ste 201, Hayden, ID 83835-6028
Phone: 2087140478

LOCAL LAB LLC (NPI# 1801390521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801390521
Entity Type Organization
Organization Name LOCAL LAB LLC
Practice Address 8382 N Wayne Dr Ste 201
Hayden
ID 83835-6028
Practice Telephone 2087140478
Practice Fax Number 8554855234
Mailing Telephone 2087140478
Mailing Fax Number 8554855234
Enumeration Date 2018-03-19
Last Update Date 2018-09-12
Authorized Official Name MORGANA SAMORA (MANAGER)
Authorized Official Telephone 2089292234
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 13 ID Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
ID CLIA ID 13D2141188 01

Office Location

Street Address 8382 N WAYNE DR STE 201
City HAYDEN
State ID
Zip Code 83835-6028

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881212371 Ngan T Nguyen Pharmacist 161 E. Prairie Shopping Center, Hayden, ID 83835 2020-07-10
1689158461 Rskiom, Pllc Electrodiagnostic Medicine 9323 N Government Way #6, Hayden, ID 83835 2018-09-18
1235616913 Kimberly Jill Young Dietitian, Registered 8500 N. Atlas Rd., Hayden, ID 83835 2018-07-25
1851894380 Medicine Man North Pharmacy Inc Pharmacy 30585 N Roberts Rd, Hayden, ID 83835 2018-03-11
1366997322 Jennifer Amber Belmont Social Worker 8680 N Wayne Dr, Suite A, Hayden, ID 83835 2016-08-19
1548637994 Dance Dentistry Pllc Clinic/Center 1027 W Prairie Ave, Hayden, ID 83835 2015-09-01
1982012498 Dallin J. Dance Dentist 1027 W. Prairie Ave., Hayden, ID 83835 2014-07-28
1669808614 Integrated Interventions LLC Clinic/Center 2482 E. Glacier Rd., Hayden Lake, ID 83835 2013-09-23
1669812301 Caleb Jerome Foss Physical Therapist 8382 N Wayne Dr Ste 100, Hayden, ID 83835 2013-06-26
1437493798 Joseph Neal Tessendorf Chiropractor 1401 Biztown Loop, Hayden, ID 83835 2012-11-26
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326553421 The Local Lab, LLC Clinical Medical Laboratory 8382 N Wayne Dr Ste 103, Hayden, ID 83835-6028 2017-12-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770183089 Boise State University Clinical Medical Laboratory Bsu Science Bld Room 239 2133 W Cesar Chavez Ln, Boise, ID 83725-0001 2020-10-27
1730786328 Idaho One Health Network, LLC Clinical Medical Laboratory 4455 S Meridian Rd, Meridian, ID 83642-6917 2020-10-06
1457984981 Mini-cassia Misdemeanor Clinical Medical Laboratory 1359 Hansen Ave, Burley, ID 83318-1821 2020-02-12
1831743228 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 215 E Hawaii Ave Ste B-100, Nampa, ID 83686-6011 2019-07-24
1457722092 Bear Tooth Laboratory, LLC Clinical Medical Laboratory 1125 E Pine Ave, Ste B, Meridian, ID 83642-5955 2015-10-08
1730550377 Landbank Laboratories, LLC Clinical Medical Laboratory 1020 Land Bank St, Suite B, Idaho Falls, ID 83402-1809 2015-10-08
1629486311 Julia Anne Sanford Biggerstaff Clinical Medical Laboratory 4355 W Emerald St, Suite 140, Boise, ID 83706-2050 2014-07-26
1194150003 Absolute Drug Testing, LLC Clinical Medical Laboratory 5433 N Government Way, Suite B, Coeur D Alene, ID 83815-9259 2013-09-10
1730513888 Global Drug Testing Labs Clinical Medical Laboratory 921 S Orchard St Ste A, Boise, ID 83705-1992 2013-08-26
1831486133 Laboratory Corporation of America Clinical Medical Laboratory 1950 E Clark St Ste E, Pocatello, ID 83201-3314 2011-07-07
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Competitor

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City HAYDEN
Zip Code 83835

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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