Organization
MEDILINE PROFESSIONAL SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN HAROLD AUSTRHEIM (PRESIDENT)
(509) 389-9765
Entity
Organization
Contact information
Practice address
4407 N DIVISION ST STE 417, SPOKANE, WA 99207-1613
(509) 389-9765
Mailing address
4407 N DIVISION ST STE 417, SPOKANE, WA 99207-1613
(509) 389-9765
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
WA
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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