| NPI | 1023472891 |
|---|---|
| Doing Business As | LAKESIDE CLINICAL LABORATORY, LLC |
| Entity Type | Organization |
| Authorized Contact | ADAM LAW Owner 509-842-8987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2026-03-11 |