LONGEVITY LABORATORY, LLC

KIRKLAND, WA
NPI1609123330
Entity TypeOrganization
Authorized ContactJERRY NELSON MIXON
Medical Director
425-605-8715
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2012-08-13
Last Update Date2012-08-13
Business Address
LONGEVITY LABORATORY, LLC
9757 NE JUANITA DR 202
KIRKLAND, WA 98034-4299
Phone number: 425-605-8715
Mailing Address
LONGEVITY LABORATORY, LLC
9757 NE JUANITA DR 202
KIRKLAND, WA 98034-4299
Phone number: 425-605-8715
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