| NPI | 1245017086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYYAMPERUMAL JEYAPRAKASH Laboratory Director/Manager 503-880-6306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-09-14 |