NPI | 1457403719 |
---|---|
Other Name | OPTUM - SILVER LAKE |
Entity Type | Organization |
Authorized Contact | GEORGE GO Board President 425-259-0966 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: WA 50D0892583) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2024-04-09 |