| NPI | 1952651184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY MOSS COO 509-868-9951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA MTS.FS.00000435) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2026-06-10 |