| NPI | 1538394234 |
|---|---|
| Doing Business As | SOUTHLAKE CLINIC PATHOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARIANNE LARSON COO 425-251-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: WA MD00015542) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2012-08-06 |