WESTERN PATHOLOGY ASSOCIATES LLC
Medical Laboratory at Clark St, Pocatello, ID

License number
Idaho 207ZP0102X
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MRS. CELENE MARIE ROBERTS MHRTD
Title: OFFICE MANAGER
Phone: (208) 233-3794
Address
Address
1950 E Clark St STE D, Pocatello, ID 83201
National Provider ID: 1366653800
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WESTERN PATHOLOGY ASSOCIATES, LLC

Pocatello, ID

Status:
Inactive
Industry:
Medical Laboratory
Doing business as:
WESTERN PATHOLOGY ASSOCIATES, LLP<br>Western Pathology Associates
Registration:
Mar 14, 2003
Inactive since:
Dec 28, 2012
Phone:
(208) 233-3794 (Phone)
Addresses:
1950 E Clark SUITE D, Pocatello, ID 83201 (Physical)
246 N 18 STE C, Pocatello, ID 83201 (Physical)
PO Box 2537, Pocatello, ID 83206
State ID:
W23207
Business type:
Limited Liability Company
Office Managers:
Steve M. Skoumal Partner, Pathologist, Owner, inactive,Celene Marie Roberts Office Manager, Manager, inactive,Angie M. Guerrero Billing Clerk, Clerk, inactive,...
Agent:
Steve M Skoumal,1950 E Clark STE D, Pocatello, ID 83201 (Physical)

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