Organization
BOURGET HEALTH SERVICES INC
Active
Parent organization
BOURGET HEALTH SERVICES INC
Other names
Pathology Associates Med Laboratories
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOURGET HEALTH SERVICES INC
Authorized official
MR. KURT ROGERS (CFP)
(509) 755-8903
Entity
Organization
Contact information
Practice address
110 W CLIFF DR, SPOKANE, WA 99204-3638
(509) 755-8600
(509) 755-8319
Mailing address
PO BOX 2687, SPOKANE, WA 99220-2687
(509) 755-8600
(509) 755-8319
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MTS-0416
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7010937
—
WA
Enumeration date
12/15/2008
Last updated
12/15/2008
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