Organization
EMERALD NATIONAL LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM MASTEN (PARTNER)
(512) 590-3888
Entity
Organization
Contact information
Practice address
132 SW 4TH ST, CORVALLIS, OR 97333-4712
(541) 507-9860
Mailing address
719 SW 57TH ST, CORVALLIS, OR 97333-4480
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
01/11/2022
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