| NPI | 1326869579 |
|---|---|
| Other Name | STUMPTOWN LABORATORY SERVICES |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L SEATON Managing Director 971-433-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |