| NPI | 1003099805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE A FRAGA President 509-546-4843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA CH00002378) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |