| NPI | 1306455209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J HUSON Managing Member 503-307-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-08-05 |