| NPI | 1669637633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES VIRGIL FULMER Audiologist 206-789-7029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA LD00000978) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |