BOISE STATE UNIVERSITY (NPI# 1770183089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770183089 |
| Entity Type | Organization |
| Organization Name | BOISE STATE UNIVERSITY |
| Practice Address |
Bsu Science Bld Room 239 2133 W Cesar Chavez Ln Boise ID 83725-0001 |
| Mailing Address |
1910 University Dr # Ms 1515 Boise ID 83725-0002 |
| Practice Telephone | 2084261038 |
| Mailing Telephone | 2084261038 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | STEPHANIE HUDON (CLINICAL LAB MANAGER) |
| Authorized Official Telephone | 2084261038 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Boise State University Clinical Laboratory | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Boise State University Foundation, Inc. | 1173 University Drive, Boise, ID 83706 |
| Street Address |
BSU SCIENCE BLD ROOM 239 2133 W CESAR CHAVEZ LN |
| City | BOISE |
| State | ID |
| Zip Code | 83725-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194276550 | Dylan E Schmick | Specialist/Technologist | 1910 University Drive, Boise, ID 83725 | 2016-10-20 |
| 1386053213 | Keita Shimada | Specialist | 1910 University Dr # Ms 1020, Boise, ID 83725-0001 | 2014-08-05 |
| 1275815904 | Christian Gelok | Nurse Practitioner | 1910 University Dr # Ms 1351, Boise, ID 83725-0001 | 2011-09-20 |
| 1750680849 | Alison Radcliffe | Psychologist | 1529 S Belmont St, Boise, ID 83725-0001 | 2011-03-15 |
| 1336477207 | Rd Boardman | Psychologist | Health Services 1529 Belmont St, Boise, ID 83725-0001 | 2009-12-03 |
| 1194865444 | Boise State Health Center | Clinic/Center | 2103 University Dr, Boise, ID 83725-0001 | 2007-02-07 |
| 1033154802 | James Floyd Spooner | Specialist/Technologist | Boise State University, 1910 University Dr, Boise, ID 83725-0001 | 2006-06-17 |
| 1750947701 | Monique Victoria Barber | Counselor | 1529 Belmont St, Boise, ID 83725-0001 | 2019-05-15 |
| 1700359916 | Taylor Lannea Aylsworth-hayfield | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-0001 | 2019-01-10 |
| 1275071110 | Savannah Knighton | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-0001 | 2017-02-10 |
| Find all providers in zip 83725 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629486311 | Julia Anne Sanford Biggerstaff | Clinical Medical Laboratory | 4355 W Emerald St, Suite 140, Boise, ID 83706-2050 | 2014-07-26 |
| 1730513888 | Global Drug Testing Labs | Clinical Medical Laboratory | 921 S Orchard St Ste A, Boise, ID 83705-1992 | 2013-08-26 |
| 1598097263 | Community Health Clinics Inc | Clinical Medical Laboratory | 400 N Allumbaugh Street, Boise, ID 83704 | 2010-02-05 |
| 1487988192 | Daystar Labs LLC | Clinical Medical Laboratory | 13901 W Wainwright Dr, Suite A, Boise, ID 83713-5047 | 2009-09-28 |
| 1689825408 | Northwest Osteoscreening | Clinical Medical Laboratory | 9238 W Beachside Ln, Boise, ID 83714-6712 | 2008-10-10 |
| 1295917375 | United Drug Testing Laboratory, Inc | Clinical Medical Laboratory | 1010 N Orchard St, Suite 8, Boise, ID 83706-2270 | 2007-11-30 |
| 1457531592 | United Drug Testing Laboratory Inc | Clinical Medical Laboratory | 1010 N. Orchard St, Suite 8, Boise, ID 83642 | 2007-11-06 |
| 1871608695 | Cole Diagnostics | Clinical Medical Laboratory | 7988 W. Marigold, Boise, ID 83714 | 2006-08-20 |
| 1194708388 | Laboratory Corporation of America | Clinical Medical Laboratory | 6090 W Emerald St, Boise, ID 83704-8855 | 2005-11-22 |
| 1184155426 | Saint Alphonsus Regional Medical Center Inc | Clinical Medical Laboratory | 1055 N Curtis Rd, Boise, ID 83706 | 2017-03-27 |
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| 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.