| NPI | 1801049127 |
|---|---|
| Doing Business As | PROVIDENCE EVERETT MEDICAL LABS |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA H-084) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2021-08-10 |