Organization · NPI-2
Diagnostic Vascular Laboratory, LLC
Physiological Laboratory · Yakima, WA
NPI number1023154465
StatusActive
Last updated in NPPESJul 20, 2010
Details
- NPI
- 1023154465
- Entity type
- Organization (NPI-2)
- Legal business name
- Diagnostic Vascular Laboratory, LLC
- Organization subpart
- No
- Enumeration date
- Jan 30, 2007
- Last updated
- Jul 20, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | – | – | Yes |
Practice location
3911 Castlevale RdSuite 105
Yakima, WA 98902-7807
Phone 509-575-7652
Mailing address
3911 Castlevale RdSuite 105
Yakima, WA 98902-7807
Authorized official
Susan Youngstrom
Mgr
5095757652
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