Organization
NEW LIFE LAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MELANIE KOCH MA,LMHCA,MHP (OWNER/CEO)
(360) 203-3379
Entity
Organization
Contact information
Practice address
5019 GROVE ST STE 103B, MARYSVILLE, WA 98270-4487
(360) 203-3379
(360) 200-5329
Mailing address
PO BOX 19337, SEATTLE, WA 98109-1337
(360) 203-3379
(360) 200-5329
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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