| NPI | 1235193590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY WOLGAMOT Medical Director 360-734-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine |
| 207ZC0006X Pathology, Clinical Pathology | |
| 207ZD0900X Pathology, Dermatopathology | |
| 207ZH0000X Pathology, Hematology | |
| 207ZN0500X Pathology, Neuropathology (Licence: WA MD00025624) | |
| 207ZP0101X Pathology, Anatomic Pathology | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2024-04-24 |