| NPI | 1649392366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL YOUNGER Medical Director 541-382-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OR 38D0656805) |
| Additional Taxonomies | 246QC2700X Spec/Tech, Pathology, Cytotechnology (Licence: OR 38D0656805) |
| 246QH0600X Spec/Tech, Pathology, Histology (Licence: OR 38D0656805) | |
| 246R00000X Technician, Pathology (Licence: OR 38D0656805) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2011-01-25 |