| NPI | 1013137173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE JACOB ZENDER CFO 360-738-6313 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA MTS-1201) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2007-08-28 |