| NPI | 1386704310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY PFEIFFER Bookkeeper 360-542-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA MTS-4979) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |