| NPI | 1710057740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON GUTIERREZ President 509-389-9765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NM 32D1060534) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |