| NPI | 1215175039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J GARRISON Office Administrator 541-306-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-06-04 |