| NPI | 1609830900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT DAVID BENJAMIN President 425-251-5168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD00041011) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: WA MD00032601) |
| 207ZD0900X Pathology, Dermatopathology (Licence: WA MD00032601) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2008-06-06 |