| NPI | 1982046405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN L LAFURGE CEO/CFO 360-852-0302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 4232) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |