Dynacare Northwest, INC
Clinical Medical Laboratory in Issaquah, WA. Organization (NPI-2).
NPI number1114200425
StatusActive
Last updated in NPPESDec 23, 2013
Details
- NPI
- 1114200425
- Entity type
- Organization (NPI-2)
- Legal business name
- Dynacare Northwest, INC
- Organization subpart
- No
- Enumeration date
- Sep 22, 2011
- Last updated
- Dec 23, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
751 Ne Blakely DrFlr G
Issaquah, WA 98029-6201
Phone 425-394-0550
Mailing address
Po Box 2240Burlington, NC 27216-2240
Phone 800-222-7566 · Fax 336-436-1048
Authorized official
Kimberly Williams
Vp
8002227566
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