Eastern Idaho Laboratory Consultants LLC
NPI 1043060536 · Anatomic Pathology & Clinical Pathology Physician · Idaho Falls, ID
Eastern Idaho Laboratory Consultants LLC is a Anatomic Pathology & Clinical Pathology Physician organization in Idaho Falls, ID (NPI 1043060536).
Provider details
- NPI number
- 1043060536
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Clark Daines, Manager(208) 529-6111
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-03-26
- Last updated
- 2024-03-28
- Certified
- 2024-03-28
Frequently asked questions
- What is Eastern Idaho Laboratory Consultants LLC's NPI number?
- Eastern Idaho Laboratory Consultants LLC's National Provider Identifier (NPI) is 1043060536, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastern Idaho Laboratory Consultants LLC?
- Eastern Idaho Laboratory Consultants LLC is classified in the NPPES registry as Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Eastern Idaho Laboratory Consultants LLC located?
- Eastern Idaho Laboratory Consultants LLC's practice location on file with NPPES is 3100 Channing Way, Idaho Falls, ID 83404-7533.
- What is Eastern Idaho Laboratory Consultants LLC's phone number?
- The practice phone number listed in the NPPES registry for Eastern Idaho Laboratory Consultants LLC is (208) 259-6111.
- Who is the authorized official for Eastern Idaho Laboratory Consultants LLC?
- The authorized official listed on Eastern Idaho Laboratory Consultants LLC's NPPES record is Clark Daines, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastern Idaho Laboratory Consultants LLC's NPI active?
- Yes — Eastern Idaho Laboratory Consultants LLC's NPI (1043060536) is active in the NPPES registry as of the last update on 2024-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.