Organization
DYNACARE NORTHWEST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WILLIAMS (VP)
(800) 222-7566
Entity
Organization
Contact information
Practice address
751 NE BLAKELY DR, FLR G, ISSAQUAH, WA 98029-6201
(425) 394-0550
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(800) 222-7566
(336) 436-1048
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50D2025765
CLIA
—
Enumeration date
09/22/2011
Last updated
12/23/2013
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