| NPI | 1316433527 |
|---|---|
| Doing Business As | PMG SE WA - LAB |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Secretary Enrollment/Admin Dir 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA MTSC.FS.60877120) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2025-05-06 |