| NPI | 1104899376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYNDRA M MCDOUGAL Chief Regulatory Officer 888-618-9107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA MTS-0439) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2023-02-16 |