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Idaho Department of Health and Welfare, Bureau of Laboratories

Clinical Medical Laboratory in Boise, ID · enumerated 2007 · authorized official Elke Shaw-Tulloch, Division Administrator & State Heal.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023148038

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Registry record

Entity type Organization (Type 2)
Legal business name Idaho Department of Health and Welfare, Bureau of Laboratories
Practice address 2220 Old Penitentiary Rd, Boise, ID, 83712
Phone (208) 334-2235
Fax (208) 334-4765
Enumeration date Mar 7, 2007
Last updated in NPPES Oct 24, 2019

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories Primary

Authorized official

Name Elke Shaw-Tulloch
Title Division Administrator & State Heal
Phone (208) 334-6996

Other identifiers

Identifier Type State Issuer
87320 Other ID BLUE CROSS OF IDAHO
000010007987 Other ID BLUE SHIELD REGENCE
0028335 Medicaid ID -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Idaho Department of Health and Welfare, Bureau of Laboratories located?
The practice location on file with NPPES is in Boise, ID.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-10-24. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-10-24.