Organization
ALTIUS DIAGNOSTICS LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAE LEE (CEO)
(425) 341-4818
Entity
Organization
Contact information
Practice address
12100 NORTHUP WAY, SUITE A, BELLEVUE, WA 98005-1920
(425) 341-4818
(425) 296-1355
Mailing address
12100 NORTHUP WAY, SUITE A, BELLEVUE, WA 98005-1920
(425) 341-4818
(425) 296-1355
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/20/2015
Last updated
07/21/2015
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