OrganizationActive
Southern Idaho Regional Laboratory LLC
NPI 1508256041 · Clinical Medical Laboratory · Ontario, OR
Southern Idaho Regional Laboratory LLC is a Clinical Medical Laboratory organization in Ontario, OR (NPI 1508256041).
Provider details
- NPI number
- 1508256041
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Southern Idaho Regional Laboratory LLC
- Organization subpart
- Yes
- Authorized official
- Clarrissa Willett, Cfo(509) 755-8903
- License
- 13D0646359 (ID)
Specialties & taxonomies
Laboratories
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
335 Sw 13th St
Ontario, OR 97914-4547
Phone: (541) 889-4513
Street-level locationGet directions
Mailing address
Po Box 2693
Spokane, WA 99220-2693
Other names (DBA / former)
- Doing business as
- Treasure Valley Laboratory
Registry dates
- Enumerated
- 2015-02-04
- Last updated
- 2015-02-04
Frequently asked questions
- What is Southern Idaho Regional Laboratory LLC's NPI number?
- Southern Idaho Regional Laboratory LLC's National Provider Identifier (NPI) is 1508256041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Idaho Regional Laboratory LLC?
- Southern Idaho Regional Laboratory LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Southern Idaho Regional Laboratory LLC located?
- Southern Idaho Regional Laboratory LLC's practice location on file with NPPES is 335 Sw 13th St, Ontario, OR 97914-4547.
- What is Southern Idaho Regional Laboratory LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Idaho Regional Laboratory LLC is (541) 889-4513.
- Who is the authorized official for Southern Idaho Regional Laboratory LLC?
- The authorized official listed on Southern Idaho Regional Laboratory LLC's NPPES record is Clarrissa Willett, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Idaho Regional Laboratory LLC's NPI active?
- Yes — Southern Idaho Regional Laboratory LLC's NPI (1508256041) is active in the NPPES registry as of the last update on 2015-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.