| NPI | 1568434025 |
|---|---|
| Doing Business As | EVERGREEN DIAGNOSTICS |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY TYREE COO 541-229-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2024-08-06 |