# PACIFIC PHYSICIANS LABORATORY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760447452
- **Authorized official:** MR. MYLES STANDISH (PRESIDENT)
- **Authorized official phone:** (425) 774-3751

## Contact information

- **Practice address:** 21313 68TH AVE W, LYNNWOOD, WA 98036-7300
- **Practice address phone:** (425) 774-3751
- **Practice address fax:** (425) 775-0848
- **Mailing address:** 21313 68TH AVE W, LYNNWOOD, WA 98036-7300
- **Mailing address phone:** (425) 774-3751
- **Mailing address fax:** (425) 775-0848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | MD00012785 | WA | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | MD00012785 | WA | Yes |

## Other

- **Enumeration date:** 04/18/2006
- **Last updated:** 07/26/2011