| NPI | 1992119127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE PETERDY President 509-255-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: WA 603411100) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: WA 603411100) |
| 207ZD0900X Pathology, Dermatopathology (Licence: WA 603411100) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2016-06-28 |