Organization
MEDICAL LABORATORY ASSOCIATES
Active
Parent organization
INTERPATH LABORATORY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERPATH LABORATORY INC
Authorized official
MR. THOMAS M KENNEDY (PRESIDENT)
(541) 278-4735
Entity
Organization
Contact information
Practice address
19505 52ND AVE W, SUITE A, LYNNWOOD, WA 98036-5409
(206) 623-3814
(206) 623-4327
Mailing address
19505 52ND AVE W, SUITE A, LYNNWOOD, WA 98036-5409
(206) 623-3814
(206) 623-4327
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MTS 0405
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7814809
—
WA
Enumeration date
01/17/2007
Last updated
11/02/2016
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