Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pathology Associates of Idaho Falls P A

Anatomic Pathology & Clinical Pathology Physician in Idaho Falls, ID · enumerated 2006 · authorized official Matt Tannenbaum, President.

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

National Provider Identifier

1497723241

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Registry record

Entity type Organization (Type 2)

Legal business name Pathology Associates of Idaho Falls P A

Practice address 3100 Channing Way, Idaho Falls, ID, 83404

Phone (208) 529-6050

Enumeration date Mar 9, 2006

Last updated in NPPES Mar 6, 2020

Taxonomy & classification

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Matt Tannenbaum

Title President

Phone (208) 529-6050

Other identifiers

Identifier	Type	State	Issuer
002346700	Medicaid	ID	-
88971	Other	ID	BLUE CROSS OF ID
000010026929	Other	ID	REGENCE BLUE SHIELD 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.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Pathology Associates of Idaho Falls P A?

Pathology Associates of Idaho Falls P A is registered in NPPES as a Anatomic Pathology & Clinical Pathology Physician (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 2020-03-06.