| NPI | 1457739559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL JEROME LIAN CEO 360-442-4129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA 50D2098207) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2016-01-29 |