| NPI | 1053861518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA GOLPHENEE Phlebotomist/Owner 253-275-0901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: WA 603596285) |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2016-10-09 |