Northwest Medical Diagnostic Laboratory
NPI #1457739559 in Longview, Washington
Provider Information
- NPI Number
- 1457739559
- Entity Type
- Organization
- Organization Name
- Northwest Medical Diagnostic Laboratory
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- May 11, 2015
- Last Updated
- Jan 29, 2016
Practice Location
- Address
- 1003 FIR ST
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2526
- Phone
- (360) 442-4129
Authorized Official
- Name
- CARL JEROME LIAN, MLT
- Title
- CEO
- Phone
- (360) 442-4129
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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