| NPI | 1295057230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEAU REMBERT FESSENDEN President & CEO 253-630-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA 50D1092274) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2012-02-17 |