| NPI | 1295887610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M KENNEDY President 541-278-4735 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA MTS 0405) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2016-11-02 |