| NPI | 1982792685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLIE WINSLOW Business Office Manager 509-566-4147 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA MTS0086) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-10-25 |