Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pathology Associates of Idaho Falls P A

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1497723241

Pathology Associates of Idaho Falls P A provides Anatomic Pathology & Clinical Pathology Physician services in Idaho Falls, Idaho. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone: (208) 529-6050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X

Record details

NPI number1497723241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matt Tannenbaum — President · (208) 529-6050
NPI enumeratedMarch 9, 2006
Last updated in NPPESMarch 6, 2020
Certification dateMarch 6, 2020
Mailing address3100 Channing Way, Idaho Falls, ID 83404-7533

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