| NPI | 1174847727 |
|---|---|
| Doing Business As | LEGACY BRIDGEVIEW MEDICAL LAB |
| Entity Type | Organization |
| Authorized Contact | SHAZIA HAMID President 503-575-6916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OR 38D0673412) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |