| NPI | 1689731945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES I KUSTIN Owner 425-688-7740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA MTS-1269) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |