| NPI | 1942354535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W LONG C.E.O. 509-943-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA MTS-0299) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2011-04-12 |