OrganizationActive
State of Idaho
NPI 1790841781 · Clinical Medical Laboratory · Blackfoot, ID
State of Idaho is a Clinical Medical Laboratory organization in Blackfoot, ID (NPI 1790841781).
Provider details
- NPI number
- 1790841781
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Ralph Heckard, Medical Director(208) 785-8429
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(90/100 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
700 East Alice
Blackfoot, ID 83221
Phone: (208) 785-8429
Fax: (208) 785-8439
Street-level locationGet directions
Mailing address
Box 400
Blackfoot, ID 83221
Other names (DBA / former)
- Doing business as
- State Hospital South Laboratory
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2020-08-22
Frequently asked questions
- What is State of Idaho's NPI number?
- State of Idaho's National Provider Identifier (NPI) is 1790841781, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State of Idaho?
- State of Idaho is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is State of Idaho located?
- State of Idaho's practice location on file with NPPES is 700 East Alice, Blackfoot, ID 83221.
- What is State of Idaho's phone number?
- The practice phone number listed in the NPPES registry for State of Idaho is (208) 785-8429.
- Who is the authorized official for State of Idaho?
- The authorized official listed on State of Idaho's NPPES record is Ralph Heckard, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State of Idaho's NPI active?
- Yes — State of Idaho's NPI (1790841781) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.