| NPI | 1811262272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RANDY BOREK CFO 206-576-6138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology |
| 207ZD0900X Pathology Dermatopathology | |
| 207ZF0201X Pathology Forensic Pathology | |
| 207ZH0000X Pathology Hematology | |
| 207ZN0500X Pathology Neuropathology | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |