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Medical Lab Service

Clinical Medical Laboratory in Burley, ID · enumerated 2007 · authorized official Wendell Wells, Director.

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

National Provider Identifier

1487789343

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Registry record

Entity type Organization (Type 2)
Legal business name Medical Lab Service
Practice address 1501 Hiland Ave, Suite J, Burley, ID, 83318
Phone (208) 678-5215
Fax (208) 678-1472
Enumeration date Feb 22, 2007
Last updated in NPPES Dec 9, 2008

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories · License PO33 (ID) Primary

Authorized official

Name Wendell Wells
Title Director
Phone (208) 678-8899

Other identifiers

Identifier Type State Issuer
808196400 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

What type of organization is Medical Lab Service?
Medical Lab Service is registered in NPPES as a Clinical Medical Laboratory (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-12-09.