| NPI | 1427684299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY J ANDERSON President 360-318-8800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |