Provider Demographics
NPI:1730513888
Name:GLOBAL DRUG TESTING LABS
Entity type:Organization
Organization Name:GLOBAL DRUG TESTING LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST LEVEL 3
Authorized Official - Prefix:
Authorized Official - First Name:DENAYE
Authorized Official - Middle Name:
Authorized Official - Last Name:KHARRL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-429-1445
Mailing Address - Street 1:921 S ORCHARD ST STE A
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83705-1992
Mailing Address - Country:US
Mailing Address - Phone:208-429-1445
Mailing Address - Fax:120-842-9170
Practice Address - Street 1:921 S ORCHARD ST STE A
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705-1992
Practice Address - Country:US
Practice Address - Phone:208-429-1445
Practice Address - Fax:120-842-9170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory