| NPI | 1801049127 |
|---|---|
| Doing Business As | PROVIDENCE EVERETT MEDICAL LABS |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secreatry For Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA H-084) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2025-05-07 |