Organization
KA SERVICES INC
Active
Other names
legacy bridgeview medical lab
Organization subpart
No
Provider details
NPI number
Authorized official
SHAZIA HAMID M.D. (PRESIDENT)
(503) 575-6916
Entity
Organization
Contact information
Practice address
818 SW 3RD AVE, STE 188, PORTLAND, OR 97204-2405
(503) 575-6916
(866) 243-0017
Mailing address
818 SW 3RD AVE, STE 188, PORTLAND, OR 97204-2405
(503) 575-6916
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
38D0673412
OR
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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