| NPI | 1780659011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GORALSKY Chief Operating Officer 253-383-8342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: WA MTS-2274) |
| 291U00000X Clinical Medical Laboratory (Licence: WA 50D0712074) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2017-05-08 |