Organization
AL'TA COUNSELING & TESTING L.L.C.
Active
Other names
Al'Ta Testing Labs L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY MATHESON WEKELL CDP, SAP (ADMINISTRATOR)
(253) 473-7586
Entity
Organization
Contact information
Practice address
702 BROADWAY, SUITE 102, TACOMA, WA 98402-3735
(253) 473-7586
(253) 590-0211
Mailing address
702 BROADWAY, SUITE 102, TACOMA, WA 98402-3735
(253) 473-7586
(253) 590-0211
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
27145100
WA
291U00000X
Clinical Medical Laboratory
27145100
WA
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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