| NPI | 1548208440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOLDIE MANDELLA Manager, Billing Operations 541-278-4743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OR 38D0628506) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2015-12-28 |