Type 2 organization · NPI 1184559031

BEACON THERAPY LLC

225X00000X · POCATELLO, ID

Why this profile is appearing now

Observed change signals

Newly enumerated

The official enumeration date falls within the documented new-enumeration window.

  • Enumeration date is 39 days before observation

Reported classification

Taxonomies

CodeDescriptionSource flag
225X00000X 225X00000X Primary
225100000X 225100000X Additional
225XE0001X 225XE0001X Additional
225XE1200X 225XE1200X Additional
225XG0600X 225XG0600X Additional
225XH1300X 225XH1300X Additional
225XM0800X 225XM0800X Additional
225XN1300X 225XN1300X Additional
225XP0019X 225XP0019X Additional
225XP0200X 225XP0200X Additional
225XR0403X 225XR0403X Additional
235Z00000X 235Z00000X Additional

Taxonomy reporting does not establish licensure, board certification, expertise, or quality.

Longitudinal record

Observed change timeline

  1. 0 recorded field change s