| NPI | 1972012599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JEFFERSON DAWSON Cmo 509-222-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 5000076869) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2023-08-31 |