| NPI | 1508129628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J RANDALL BOREK CFO 206-576-6138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology |
| 207ZC0500X Pathology, Cytopathology | |
| 207ZH0000X Pathology, Hematology | |
| 207ZP0007X Pathology, Molecular Genetic Pathology | |
| 207ZI0100X Pathology, Immunopathology | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |