Organization
WASHINGTON GASTROENTEROLOGY PLLC
Active
Parent organization
WASHINGTON GASTROENTEROLOGY PLLC
Other names
Washington Gastroenterology Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
WASHINGTON GASTROENTEROLOGY PLLC
Authorized official
NICHOLAS GORALSKY (CHIEF OPERATING OFFICER)
(253) 383-8342
Entity
Organization
Contact information
Practice address
33915 1ST WAY S STE 203, FEDERAL WAY, WA 98003-6396
(253) 838-9839
(253) 661-9077
Mailing address
PO BOX 3006, TACOMA, WA 98401-3006
(800) 734-6855
(253) 404-0506
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
05/06/2021
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