Organization
CELLNETIX LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD RAYMOND HOWARD MD PHD (CHIEF OPERATING OFFICER)
(206) 386-2676
Entity
Organization
Contact information
Practice address
1321 COLBY AVENUE, EVERETT, WA 98206
(425) 261-3670
(425) 261-3676
Mailing address
PO BOX 94344, SEATTLE, WA 98124-6644
(206) 386-2676
(206) 386-2709
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7129968
—
WA
Enumeration date
03/16/2006
Last updated
12/18/2007
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