OrganizationActive
Medical Lab Service
NPI 1487789343 · Clinical Medical Laboratory · Burley, ID
Provider details
- NPI number
- 1487789343
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Wendell Wells, Director(208) 678-8899
- License
- PO33 (ID)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1501 Hiland Ave
Suite J
Burley, ID 83318-2682
Phone: (208) 678-5215
Fax: (208) 678-1472
Street-level locationGet directions
Mailing address
1501 Hiland Ave
Burley, ID 83318-2682
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2008-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.