Organization
BASELINE LABORATORY SERVICES
Active
Organization
BASELINE LABORATORY SERVICES
Active
Parent organization
BASELINE LABORATORY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
BASELINE LABORATORY SERVICES
Authorized official
MARGARITA R MOORE (CREDENTIALING)
(541) 414-0362
Entity
Organization
Contact information
Practice address
537 MURPHY RD STE B, MEDFORD, OR 97504-8187
(541) 414-0362
(541) 200-2269
Mailing address
1744 E MCANDREWS RD STE D, MEDFORD, OR 97504-5576
(541) 414-0362
(541) 200-2269
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38D2275224
CLIA
OR
05
—
500821822
—
OR
Enumeration date
04/13/2023
Last updated
08/22/2023
Update your record
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