Organization
DYNACARE NORTHWEST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WILLIAMS (VP)
(800) 222-7566
Entity
Organization
Contact information
Practice address
550 17TH AVE, SUITE 310, SEATTLE, WA 98122
(206) 861-7000
Mailing address
PO BOX 14954, SEATTLE, WA 98114-0954
(206) 861-7000
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50D0632667
CLIA
WA
Enumeration date
12/30/2005
Last updated
12/23/2013
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