Organization
BOURGET HEALTH SERVICES INC
Active
Other names
Pathology Associates Med Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
KURT ROGERS (CFO)
(509) 755-8600
Entity
Organization
Contact information
Practice address
110 W CLIFF DR, SPOKANE, WA 99204-3638
(509) 755-8600
Mailing address
110 W CLIFF DR, SPOKANE, WA 99204-3638
(509) 755-8600
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
07/11/2005
Last updated
02/08/2008
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