| NPI | 1104167550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DUFFY General Manager 360-447-5635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |