| NPI | 1174564025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA D LYNAM President 360-501-8306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207U00000X Nuclear Medicine |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2016-11-15 |