OrganizationActive
Pathology Associates of Idaho Falls P a
NPI 1497723241 · Anatomic Pathology & Clinical Pathology Physician · Idaho Falls, ID
Provider details
- NPI number
- 1497723241
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Matt Tannenbaum, President
Mailing address
3100 Channing Way
Idaho Falls, ID 83404-7533
Registry dates
- Enumerated
- 2006-03-09
- Last updated
- 2020-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.