| NPI | 1508310020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL S. RIGGS Member/Manager 509-534-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA MD00014180) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |