Organization
CELLNETIX LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID KIEHN (CFO)
(206) 576-6138
Entity
Organization
Contact information
Practice address
12501 E MARGINAL WAY S STE 200, TUKWILA, WA 98168-2560
(206) 576-6138
(206) 215-6090
Mailing address
1124 COLUMBIA ST, SUITE 200, SEATTLE, WA 98104-2026
(206) 576-6138
(206) 215-6090
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
50D1067441
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50D1067441
CLIA #
WA
05
—
7138043
—
WA
01
—
MTS-5084
MEDICAL TEST SITE
WA
Enumeration date
05/09/2007
Last updated
07/07/2020
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